| NPI | 1457759318 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP |
| Doing Business As | PROVIDENCE PEDIATRIC ENDOCRINOLOGY |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Enrollments 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2025-02-17 |