| NPI | 1902228455 |
|---|---|
| Doing Business As | PROVIDENCE SURGERY AND PROCEDURE CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2020-11-17 |