| NPI | 1407808413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT H SCHMITZ CFO 253-459-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083S0010X Preventive Medicine Sports Medicine |
| Additional Taxonomies | 207PS0010X Emergency Medicine Sports Medicine |
| 207QS0010X Family Medicine Sports Medicine | |
| 207RS0010X Internal Medicine Sports Medicine | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| 2080S0010X Pediatrics Sports Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |