| NPI | 1487691150 |
|---|---|
| Doing Business As | EVERGREEN SURGICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID G. FITZGERALD CEO 206-838-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA 601484763) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2011-10-31 |