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 |