NPI | 1821101197 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHALL EDWARD MCCABE Medical Director 360-704-3401 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 174400000X Specialist (Licence: WA FX00057092) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2017-10-12 |