| NPI | 1992861256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN B LAWSON President 253-752-0714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD00031853) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD00035040) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD00035040) | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |