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 |