| NPI | 1457565459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA S. MATHIAS Credentialing COO Rdinator 206-527-2577 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2010-04-23 |