| NPI | 1508078320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SHANNON MALLICK President 206-215-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD00027008) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |