| NPI | 1851574628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY ANN MCINROY Office Manager 253-584-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00019823) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |