| NPI | 1851574750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Director Reimbursement Administrati 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2017-10-31 |