| NPI | 1740822139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BOWERS Owner 425-998-7884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2021-08-19 |