| NPI | 1013186121 |
|---|---|
| Doing Business As | PROLIANCE SURGEONS BELLEVUE ENT AND LAKE WA FACIAL PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | CORI M. PLEASANT Mgr Provider Relations/Enrollment 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA 601484763) |
| 207YS0123X Otolaryngology Facial Plastic Surgery | |
| 231H00000X Audiologist | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2022-08-22 |