| NPI | 1649461112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDER SAMRA Medical Doctor/President 360-671-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00046983) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |