| NPI | 1659362143 |
|---|---|
| Doing Business As | MADRONA ENDOSCOPY SUITE |
| Entity Type | Organization |
| Authorized Contact | SANDY MELLOTT Director Clinical Services 360-738-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 601644971) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2008-10-06 |