| NPI | 1346609575 |
|---|---|
| Doing Business As | PROLIANCE SURGEONS MINOR AND JAMES |
| Entity Type | Organization |
| Authorized Contact | CORI M. PLEASANT Mgr Provider Relations/Enrollment 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 231H00000X Audiologist | |
| 261Q00000X Clinic/Center (Licence: WA 601484763) | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2022-12-30 |