NPI | 1710305420 |
---|---|
Doing Business As | BODYLOGICMD OF SEATTLE |
Entity Type | Organization |
Authorized Contact | KATHRYN JANE ELLIOTT Medical Director 206-351-7516 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA 60308596) |
Enumeration Date | 2014-03-31 |
Last Update Date | 2014-03-31 |