| NPI | 1689607855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIFAT O BALOGUN Owner 206-525-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: WA MD00039276) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2012-09-10 |