| NPI | 1982921490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec For Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2025-07-04 |