| NPI | 1548791924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINICK ROBERT TOULOUSE President 425-793-4702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 305S00000X Point of Service (Licence: WA 0020685) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-05-08 |