| NPI | 1700910460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANJIT INDER SINGH BRAR President 360-695-5754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 600174690) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |