| 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 |