| NPI | 1801010004 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP |
| Doing Business As | PROVIDENCE LIVER CANCER CLINIC |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON A VP/ Asst Secretary For Enrollments 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 207RI0008X Internal Medicine, Hepatology | |
| 208600000X Surgery | |
| 2086X0206X Surgery, Surgical Oncology | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2024-05-28 |