| NPI | 1407023930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SUE GOLOB Physician 425-454-0526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA MD00044606) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2012-04-10 |