| NPI | 1558552505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK W. ROMANO Owner 206-909-2601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA10002119) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |