Proliance Surgeons, Inc., P.s.

NPI #1467859645 in Issaquah, Washington

Provider Information

NPI Number: 1467859645
Entity Type: Organization
Organization Name: Proliance Surgeons, Inc., P.s.
Primary Specialty: Urology
Enumeration Date: Dec 3, 2014
Last Updated: Dec 3, 2014

Practice Location

Address: 6520 226TH PL SE
Address 2: SUITE 205
City: Issaquah
State: Washington
ZIP Code: 98027-8969
Phone: (425) 392-8611

Authorized Official

Name: MR. DAVID G. FITZGERALD
Title: CEO
Phone: (206) 838-2599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Urology	208800000X	Primary

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