Organization · Type 2 NPI
Proliance Surgeons, Inc., P.s.
Ambulatory Surgical Clinic/Center · Kirkland, WA
NPI number
1790724862
Active
Practice location
12911 120th Ave NE Ste H110
Kirkland, WA 98034-3061
Fax (425) 216-7019
Mailing address
12911 120th Ave NE Ste G10
Kirkland, WA 98034-3048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 601484763 (WA) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1790724862
Proliance Surgeons, Inc., P.s.'s National Provider Identifier is 1790724862, issued on Jun 5, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Kirkland, WA. The record was last updated on May 28, 2021.