NPI | 1821799263 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM ROBERTSON President 253-403-1272 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2023-03-13 |
Last Update Date | 2023-03-21 |