NPI | 1083059778 |
---|---|
Doing Business As | PROVIDENCE GYNECOLOGY CLINIC WEST |
Doing Business As | PROVIDENCE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollments 425-358-9786 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2013-05-08 |
Last Update Date | 2025-07-04 |