| NPI | 1194099390 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Of Enrollments 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| 1223G0001X Dentist, General Practice | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| 207R00000X Internal Medicine | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2024-05-23 |