| NPI | 1912095944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN HILDEBRAND Md 425-369-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00026263) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00037522) |
| 208000000X Pediatrics (Licence: WA MD00044172) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-02-23 |