| NPI | 1760425862 |
|---|---|
| Doing Business As | PROVIDENCE LITTLE COMPANY OF MARY MEDICAL INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 208000000X Pediatrics | |
| 208M00000X Hospitalist | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 207R00000X Internal Medicine | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207N00000X Dermatology | |
| 207P00000X Emergency Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2018-11-02 |