| NPI | 1376959973 |
|---|---|
| Doing Business As | PROVIDENCE OB HOSPITALISTS PPMC |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2020-09-23 |