| NPI | 1871703256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIONEL RICHARD BROUNTS Surgeon 253-968-3105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01063325A) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |