| NPI | 1437869823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA S COBB Credentialing Specialist 425-609-0176 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-11-28 |