| NPI | 1992083216 |
|---|---|
| Doing Business As | PPS PROVIDENCE ORTHOPEDIC SPECIALTIES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MALLORY Credentialing Specialist 425-525-6798 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |