NPI | 1700031317 |
---|---|
Doing Business As | CAPITAL FAMILY CARE AND SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | ROBERT ROSCOE NOONEY Owner/Physician 360-754-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA opo00001277) |
Enumeration Date | 2008-11-24 |
Last Update Date | 2009-02-19 |