PROVIDENCE PHYSICIAN GROUP

EVERETT, WA
NPI1073699922
Entity TypeOrganization
Authorized ContactBARBARA SCHUMACHER
Pro Fee Credentialing Manager
425-259-5121
Organization Subpart ?No
Primary Taxonomy207T00000X Neurological Surgery
Enumeration Date2006-10-31
Last Update Date2010-03-11
Business Address
PROVIDENCE PHYSICIAN GROUP
2320 RUCKER AVE SUITE A
EVERETT, WA 98201-2723
Phone number: 425-259-5121
Mailing Address
PROVIDENCE PHYSICIAN GROUP
909 N BROADWAY PBO/CREDENTIALING
EVERETT, WA 98201-1409
Phone number: 425-317-0246