| NPI | 1518140094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES G HIBBERT Owner 425-899-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WA MD00030958) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2011-05-27 |