| NPI | 1477827509 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP |
| Doing Business As | PROVIDENCE HEART CLINIC CARDIOVASCULAR SURGERY WEST |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2025-06-30 |