| NPI | 1619213915 |
|---|---|
| Doing Business As | PRO SPORTS CLUB |
| Entity Type | Organization |
| Authorized Contact | DEBBIE BECKER Sr. Director Of Accounting 425-869-4796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA 600541508) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2017-08-07 |