| NPI | 1427128198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM STANFILL Office Manager 253-661-2591 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-07-12 |