| NPI | 1578830758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJA CRIDER Owner 253-651-3553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WA MD00033511) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA MD00033511) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |