| NPI | 1932597077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD D. SMITH President 360-330-2023 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA MD00019740) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |