| NPI | 1578801718 |
|---|---|
| Doing Business As | PROLIANCE EASTSIDE SURGICAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | CORI M. PLEASANT Del Cred & Enrollment Manager 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA 601484763) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 207Y00000X Otolaryngology | |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2023-08-17 |