| NPI | 1669655528 |
|---|---|
| Doing Business As | PROV ST JOSEPH MED CTR |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec For Enrollment/Dir Reimb S 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2021-02-12 |