| NPI | 1629403761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KODJABABIAN Cro 253-682-1710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |