| NPI | 1629008081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI D WILKIN Billing Manager 425-814-8514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD00030689) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |