| NPI | 1154675411 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP SOUTH |
| Doing Business As | PROVIDENCE MEDICAL GROUP - MEDFORD HOSPITALISTS |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2025-11-19 |