| NPI | 1629177225 |
|---|---|
| Doing Business As | THE SPORTS MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | RICKI VADSET Clinic Administrator 206-368-6100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: WA 601 664 888) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-09-25 |