| NPI | 1851561005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A BULLEY Physician/Owner 253-841-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA md00015372) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |