NPI | 1720271877 |
---|---|
Entity Type | Organization |
Authorized Contact | SIMON DAMIAN HILL Owner 253-588-7911 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA pa10004888) |
Enumeration Date | 2007-08-22 |
Last Update Date | 2007-08-22 |