| NPI | 1518025618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY S. DONLAN Physician 425-284-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00032729) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-12-06 |