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 Of Enrollments 425-358-9786 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 225100000X Physical Therapist |
261Q00000X Clinic/Center | |
Enumeration Date | 2006-09-16 |
Last Update Date | 2025-06-20 |