| NPI | 1437300829 |
|---|---|
| Doing Business As | PMG NW WA MC PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec For Enrollment/Dir Reimb S 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-10-04 |
| Last Update Date | 2022-01-26 |