| NPI | 1548215544 |
|---|---|
| Doing Business As | FMG-NEUROSURGERY NW - PUYALLUP |
| Entity Type | Organization |
| Authorized Contact | CLIFF ROBERTSON Chief Medical Officer 253-779-6101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-02-20 |