| NPI | 1922190065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER EDWARD LOGERFO Physician 253-548-0453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA md00036213) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-02-13 |