376K00000X
Centralia, WA
Specialty
376K00000X
NPI
1982882031
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 376k00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 376K00000X