NPI | 1801010004 |
---|---|
Doing Business As | PROVIDENCE MEDICAL GROUP |
Doing Business As | PROVIDENCE LIVER CANCER CLINIC |
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Asst Secretary For Enrollments 425-358-9786 |
Organization Subpart ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology |
207RX0202X Internal Medicine, Medical Oncology | |
208600000X Surgery | |
2086X0206X Surgery, Surgical Oncology | |
261Q00000X Clinic/Center | |
Enumeration Date | 2007-04-12 |
Last Update Date | 2025-07-04 |