| NPI | 1164724308 |
|---|---|
| Doing Business As | PROVIDENCE CARDIOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | WILLA NIZOLEK Office Manager 360-413-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2010-11-20 |
| Last Update Date | 2010-11-20 |