| NPI | 1790931517 |
|---|---|
| Doing Business As | PMG MT GRANT CREEK FAMILY MED |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2024-05-13 |