225700000X
Centralia, WA
Specialty
225700000X
Credential
LMP
NPI
1457686727
1900 Cooks Hill Rd, Centralia, WA 98531
(360) 570-3460Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 225700000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 225700000X