| NPI | 1699917781 |
|---|---|
| Doing Business As | PMG SOUTH PHYSIATRY |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollment 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2025-11-19 |