| NPI | 1275726739 |
|---|---|
| Doing Business As | PROLIANCE EASTSIDE ENT |
| Entity Type | Organization |
| Authorized Contact | CORI M. PLEASANT Credentialing & Enrollment Manager 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA 601484763) |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2023-03-01 |