| NPI | 1407010093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS HALLAK Owner 360-538-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60014240) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2011-03-28 |