| NPI | 1417983867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D BAERG Medical Director 253-272-8664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |