| NPI | 1306434691 |
|---|---|
| Doing Business As | PROLIANCE EASTSIDE SURGICAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | MARK BARNHART CEO 206-838-3796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |