| NPI | 1154675411 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP - MEDFORD HOSPITALISTS |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2021-11-04 |