NPI | 1730802364 |
---|---|
Doing Business As | PMG MT PEDIATRICS |
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Asst Sec. Regulatory Enrollmen 425-525-5392 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2022-09-20 |
Last Update Date | 2022-09-20 |