| NPI | 1811047236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY P MULL Office Manager 253-272-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD00018830) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-10-31 |