| NPI | 1720498280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L PEARSON President/Owner 253-732-5508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA MD00014726) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |