| NPI | 1447329412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G.R. LANG Owner 360-491-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WA MD00019502) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-12-14 |