| NPI | 1760620462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA S. MATHIAS Credentialing Coordinator 206-527-2577 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WA 600 176 916) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2010-04-23 |