| NPI | 1548607450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN ITKIN Owner/Physician Assistant 425-442-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60120226) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |