| NPI | 1609620772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY WILLIAMS Director Of Operations 253-462-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-06-05 |