| NPI | 1962750588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BINA C SOURI Owner/Physician 360-956-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00028023) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2018-05-21 |