| NPI | 1962525527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD F DEVRIES President 253-841-2471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WA 601891662) |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: WA 601891662) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2014-07-22 |