| NPI | 1326272741 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP |
| Doing Business As | PROVIDENCE MEDICAL GROUP ARTHRITIS CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Asst Sec Enroll/EVP 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2024-06-07 |