NPI | 1649227380 |
---|---|
Doing Business As | VMC FAIRWOOD PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | MELISSA FARLEY Technical Coordinator 425-917-6282 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2006-05-28 |
Last Update Date | 2008-01-15 |