| NPI | 1265743330 |
|---|---|
| Doing Business As | PROVIDENCE MEDCIAL GROUP |
| Doing Business As | PROVIDENCE ST VINCENT HEART CLINICS CARDIOLOGY DOCTORS CLINIC SALEM |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2025-07-04 |