| NPI | 1699727628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRIS E RADVANY Physician Owner 360-756-6980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A74296) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |