| 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 |