NPI | 1326569682 |
---|---|
Other Name | PROVIDENCE MEDICAL GROUP SOUTHEAST WASHINGTON |
Entity Type | Organization |
Authorized Contact | DONALD ANDERSON Asst Corp Secretary For Enrollments 425-525-5392 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207X00000X Orthopaedic Surgery | |
208600000X Surgery | |
Enumeration Date | 2017-06-27 |
Last Update Date | 2017-06-27 |