| NPI | 1841568946 |
|---|---|
| Doing Business As | PROLIANCE RETINA |
| Entity Type | Organization |
| Authorized Contact | LAURA KLEISLE Chief Risk Officer 206-838-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA 601484763) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: WA 601484763) |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: WA 601484763) | |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2021-05-28 |