| NPI | 1750320701 |
|---|---|
| Doing Business As | PROLIANCE SURGEONS EVERETT BONE AND JOINT |
| Doing Business As | PROLIANCE SURGEONS EVERETT BONE AND JOINT MRI |
| Entity Type | Organization |
| Authorized Contact | CORI M. PLEASANT Mgr Provider Relations/Enrollment 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging | |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0200X Clinic/Center, Radiology | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2022-08-22 |