NPI | 1740367929 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH THOMAS PALERMO Owner 206-367-1222 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP0000836) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005722) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2009-04-16 |