| NPI | 1962506618 |
|---|---|
| Doing Business As | OPTUM BROADWAY ENDOSCOPY ASC |
| Entity Type | Organization |
| Authorized Contact | CRAIG PEPIN CEO 206-329-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 178010389) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2025-12-29 |