164W00000X
Centralia, WA
Specialty
164W00000X
NPI
1518135540
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 164w00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 164W00000X