| NPI | 1851575922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE E MATHERS Office Manager 425-744-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA MD00020164) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |