| NPI | 1982620654 |
|---|---|
| Doing Business As | PROVIDENCE ST PETER NEUROSURGERY |
| Entity Type | Organization |
| Authorized Contact | NICOLE QUINN Payor Credentialing Manager 425-525-6715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WA 346002812) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2010-12-22 |