| NPI | 1619925104 |
|---|---|
| Former Legal Business Name | SOUTHWEST WASHINGTON CARDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | JOHN WARREN REID President 360-256-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-07-29 |