NPI | 1619050580 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA SCHUMACHER Pro Fee Credentialing Manager 425-316-5130 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-10-23 |
Last Update Date | 2010-03-11 |