| NPI | 1386687747 |
|---|---|
| Doing Business As | PROLIANCE SURGEONS EDMONDS ORTHOPEDIC CENTER |
| 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 | 207LP2900X Anesthesiology Pain Medicine |
| 207X00000X Orthopaedic Surgery (Licence: WA 601484763) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: WA 601484763) | |
| 2251X0800X Physical Therapist Orthopedic | |
| 225X00000X Occupational Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363AM0700X Physician Assistant Medical | |
| 363AS0400X Physician Assistant Surgical | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-06-21 |