| NPI | 1952310211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S BADGER Owner/Manager 425-516-9613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 601669743) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-03-08 |