| NPI | 1437189818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE M NELSON Operations Manager 425-899-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WA MD00026916) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2008-01-15 |