| NPI | 1174918890 |
|---|---|
| Doing Business As | PROVIDENCE PHYSICIANS INTENSIVISTS |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary For Enrollment/ 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-06-19 |