NPI | 1992881510 |
---|---|
Doing Business As | COMMENCEMENT BAY PEDIATRICS |
Entity Type | Organization |
Authorized Contact | SHANNA R DUPEA Credentialing 253-572-5971 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA MD00026169) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2008-09-11 |