| NPI | 1922289032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PAUL CLABOTS Owner 253-588-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD00023513) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2008-02-29 |