| NPI | 1629253828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD IRA LEVINE Managing Director 425-455-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA ch2630) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-05-20 |