| NPI | 1588055727 |
|---|---|
| Doing Business As | SPORTS, ORTHOPEDIC AND SPINE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MIKE FITZGERALD CFO 253-680-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |