| NPI | 1952852873 |
|---|---|
| Doing Business As | PACIFIC NORTHWEST UROLOGY SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | REANNA D FURNARI Administrator 360-733-7687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |