| NPI | 1629352984 |
|---|---|
| Other Name | VASHON PLAZA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GAIL LYNN FULTON Physician Owner 206-463-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00027813) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2012-01-11 |