| NPI | 1952340036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G. FITZGERALD CEO 206-838-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: WA 601484763) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2011-10-07 |