| NPI | 1215223953 |
|---|---|
| Doing Business As | PROVIDENCE VALLEY FAMILY PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | DANIEL T HARRIS CFO 425-687-3603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-30 |