| NPI | 1568527539 |
|---|---|
| Other Name | PEDIATRICS PM |
| Entity Type | Organization |
| Authorized Contact | SUSANNE I ROACH Office Manager 253-848-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |