| NPI | 1548445380 |
|---|---|
| Doing Business As | MARY BRIDGE PEDS PSYCH SVS / MD |
| Entity Type | Organization |
| Authorized Contact | VINCENT H SCHMITZ CFO 253-459-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |