| NPI | 1962453860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL M GORECKI Md/Authorized Official 360-514-2142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA 601287343) |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2022-01-05 |