| NPI | 1801989710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY S KARUZA Owner 360-647-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 50-C0001125) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-02-25 |