| NPI | 1902962707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A GAVIN Managing Partner 360-413-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2010-07-02 |