| NPI | 1437102274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MAY MCGOVERN President 360-417-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD00038187) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD00038187) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2016-04-20 |