| NPI | 1639118649 |
|---|---|
| Doing Business As | PROLIANCE EASTSIDE SURGEONS |
| Entity Type | Organization |
| Authorized Contact | DAVID G. FITZGERALD CEO 206-838-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA 601484763) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2011-06-29 |