| NPI | 1154427821 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP COLUMBIA WOMEN'S CLINIC |
| Doing Business As | PROVIDENCE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollments 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 225100000X Physical Therapist |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2024-09-17 |