| NPI | 1407011570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GRIFFITH Owner 253-756-0933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 602804600) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |