| NPI | 1942231196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PARKS CEO 253-396-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2013-11-12 |