| NPI | 1922639590 |
|---|---|
| Doing Business As | THE FIRM |
| Entity Type | Organization |
| Authorized Contact | BRYANT LAMONT BALL Officer/Provider 425-387-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 202C00000X Independent Medical Examiner |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2021-05-13 |