| NPI | 1770899189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Corporate Sec For Enrollments 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2018-02-22 |