NPI | 1750460283 |
---|---|
Doing Business As | PMG SOUTH VASCULAR AND GENERAL SURGERY |
Entity Type | Organization |
Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2006-11-03 |
Last Update Date | 2020-07-16 |