| NPI | 1518042084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT SANTORO Physician/Owner 425-656-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MD00025701) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |