| NPI | 1932166337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PHILLIPS Billing Manager 360-567-3284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2020-08-22 |