| NPI | 1518124379 |
|---|---|
| Other Name | PMG MT IHI ANACONDA |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec Enrollment/Dir Reimb Admin 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2019-04-18 |