NPI | 1619291317 |
---|---|
Doing Business As | FMG TRANSITIONAL CLINIC |
Entity Type | Organization |
Authorized Contact | DEAN FIELD President, Cmo 253-680-4009 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2010-03-24 |
Last Update Date | 2010-03-24 |