| NPI | 1407349962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCE MONTES Physician 425-412-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WA MD60096339) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2018-08-02 |