| NPI | 1740335066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK W ROMANO Owner 206-909-2601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA10002119) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2014-08-13 |