| NPI | 1710306436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABEER ADNAN ALIDLEBI General Manger 253-740-0977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WA 00035982) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA 60306063) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2021-08-29 |