| NPI | 1982146064 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP SOUTH |
| Doing Business As | PMG GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollments 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2025-11-19 |