| NPI | 1881021905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RICHARD DUNCAN Partner 360-929-4936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: WA 201232264714) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |