| NPI | 1659871622 |
|---|---|
| Doing Business As | PROLIANCE SURGEONS ANKLE AND FOOT OF EDMONDS |
| Entity Type | Organization |
| Authorized Contact | CORI M. PLEASANT Mgr Provider Relations/Enrollment 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA 601484763) | |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2022-08-18 |