| NPI | 1477999415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SPARE President/Cmo 253-792-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |