| NPI | 1629514823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHANZ LARY Owner 360-671-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA 00030734) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |