| NPI | 1891065595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ELWOOD Provider/Owner 253-588-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00035066) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |