PROLIANCE SURGEONS, INC., P.S.
Surgery Yellow Pages
Mount Vernon, Washington
Provider NPI: 1457350712
Organization Information:Organization Name: PROLIANCE SURGEONS, INC., P.S.
Practice Location:
1500 CONTINENTAL PL MOUNT VERNON, WA 98273 US
Tel: 360-424-7041 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:
1500 CONTINENTAL PL MOUNT VERNON, WA 98273 US
Tel: 360-424-7041 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 | 601 484 763 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
WA LABOR & INDUSTRIES | 332935 | WA | 01 |
2033491 | WA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin