PROLIANCE SURGEONS INC PS
Surgery Yellow Pages
Seattle, Washington
Provider NPI: 1891776233
Organization Information:Organization Name: PROLIANCE SURGEONS INC PS
Practice Location:
515 MINOR AVE SUITE 200 SEATTLE, WA 98104 US
Tel: 206-386-9515 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
515 MINOR AVE SUITE 200 SEATTLE, WA 98104 US
Tel: 206-386-9515 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | WA | 601484763 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7027352 | WA | 05 | |
PALMETTO RR MEDICARE | 490001094 | WA | 01 |
LABOR & INDUSTRIES | 163569 | WA | 01 |
DME | 5891740001 | WA | 01 |
REGENCE | MI4993 | WA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin