NPI | 1356564173 |
---|---|
Doing Business As | PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary For Enrollment 425-525-5392 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-04-10 |
Last Update Date | 2021-09-27 |