| NPI | 1831424563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KODJABABIAN COO 253-682-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2010-04-22 |