| NPI | 1992031595 |
|---|---|
| Doing Business As | PMG SOUTH EAGLE POINT |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Asst Sec Enroll 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208000000X Pediatrics |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0805X | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2025-05-05 |