| NPI | 1194013144 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP BATTLE GROUND FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2020-12-07 |