| NPI | 1770764342 |
|---|---|
| Doing Business As | PROLIANCE SURGEONS PUGET SOUND ENT |
| Entity Type | Organization |
| Authorized Contact | CORI M. PLEASANT Mgr Provider Relations/Enrollment 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA 601484763) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology |
| 231H00000X Audiologist (Licence: WA 601484763) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2022-11-01 |