NPI | 1750460283 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollment 425-358-9786 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2006-11-03 |
Last Update Date | 2025-05-12 |