| NPI | 1043366172 |
|---|---|
| Doing Business As | PROVIDENCE CONNECTIONS MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollments 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2024-11-20 |