| NPI | 1801087598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITA L HARMS Office Manager/Credentialer 425-454-0345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD00040018) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2013-11-19 |