Proliance Surgeons INC Ps

NPI #1144362047 in Monroe, Washington

Provider Information

NPI Number: 1144362047
Entity Type: Organization
Organization Name: Proliance Surgeons INC Ps
Primary Specialty: Surgery
Enumeration Date: Feb 14, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 14841 179TH AVE SE
Address 2: SUITE 220
City: Monroe
State: Washington
ZIP Code: 98272-1127
Phone: (360) 863-8141

Authorized Official

Name: MR. DAVID G. FITZGERALD
Title: CEO
Phone: (206) 838-2590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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