| NPI | 1700902368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA LEE MEDEEN Business Manager 253-572-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-12-17 |