NPI | 1710243514 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD GAY ECHOLS President 360-357-9880 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 6463) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2012-04-05 |