PROVIDENCE PHYSICIAN GROUP

EVERETT, WA
NPI1639258130
Entity TypeOrganization
Authorized ContactEARL D. BEEGLE
Chief Executive Officer
425-316-5470
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Additional Taxonomies261Q00000X Clinic/Center
Enumeration Date2006-11-03
Last Update Date2007-11-21
Business Address
PROVIDENCE PHYSICIAN GROUP
12800 BOTHELL EVERETT HWY SUITE 120
EVERETT, WA 98208-6642
Phone number: 425-316-5150
Mailing Address
PROVIDENCE PHYSICIAN GROUP
909 N BROADWAY
EVERETT, WA 98201-1409
Phone number: 425-317-0257