Proliance Surgeons, Inc., P.s.

NPI #1841568946 in Bellevue, Washington

Provider Information

NPI Number: 1841568946
Entity Type: Organization
Organization Name: Proliance Surgeons, Inc., P.s.
Primary Specialty: Ophthalmology
Enumeration Date: Dec 5, 2011
Last Updated: May 28, 2021

Practice Location

Address: 1750 112TH AVE NE STE D050
City: Bellevue
State: Washington
ZIP Code: 98004
Phone: (206) 215-3850

Authorized Official

Name: MRS. LAURA KLEISLE
Title: CHIEF RISK OFFICER
Phone: (206) 838-2590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology - Retina Specialist — Retina Specialist	207WX0107X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Ophthalmology	207W00000X	Primary

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