| NPI | 1518040484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL D. BEEGLE Chief Executive Officer 425-316-5470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 2471B0102X Radiologic Technologist, Bone Densitometry | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-11-21 |