NPI | 1891233250 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA D BELL Owner 253-759-5236 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WA MD 000 38548) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: WA MD 000 38548) |
2086S0127X Surgery, Trauma Surgery (Licence: WA MD 000 38548) | |
Enumeration Date | 2017-02-06 |
Last Update Date | 2017-02-07 |