| NPI | 1457759318 |
|---|---|
| Doing Business As | PROVIDENCE PEDIATRIC ENDOCRINOLOGY |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases | |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2022-01-28 |