NPI | 1912198748 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN J GEIGLE Practice Manager 360-449-6612 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA 601650251) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-07 |