| NPI | 1508043571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A MCCLARTY Office Manager 206-624-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00023946) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2016-11-10 |