| NPI | 1720258981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURI L BALL Billing Department 253-841-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00028366) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00028366) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |