NPI | 1578807418 |
---|---|
Doing Business As | PROVIDENCE NEUROLOGICAL SPECIALTIES EAST |
Entity Type | Organization |
Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2012-11-15 |
Last Update Date | 2020-07-17 |