| NPI | 1508573221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ALBERSHARDT Manager 360-878-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |