NPI | 1427096585 |
---|---|
Doing Business As | PMG MT IHI |
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Director Reimbursement Admin 425-525-5392 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: n/a) |
Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: n/a) |
207RI0011X Internal Medicine, Interventional Cardiology | |
207RP1001X Internal Medicine, Pulmonary Disease | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
363AM0700X Physician Assistant, Medical (Licence: n/a) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2018-06-04 |