| NPI | 1487860193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A VACCARO President 253-572-6835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD00036292) |
| Additional Taxonomies | 208800000X Urology (Licence: WA 600180340) |
| 208800000X Urology (Licence: WA MD00028510) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |