NPI | 1952057770 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS CHARLES KOUKOL President 253-279-3487 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Enumeration Date | 2022-03-02 |
Last Update Date | 2022-03-02 |