| NPI | 1902057029 |
|---|---|
| Doing Business As | PMG NW WA EVERETT CARDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec For Enrollment/Dir Reimb S 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2471B0102X Radiologic Technologist, Bone Densitometry |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2022-01-26 |