| NPI | 1992335541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUONG NGUYEN Credentialing Specialist 425-774-1538 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |