Organization · Type 2 NPI
Proliance Surgeons Inc P S
Ambulatory Surgical Clinic/Center · Puyallup, WA
NPI number
1972565745
Active
Practice location
3801 5th St SE Ste 210
Puyallup, WA 98374-2106
Fax (253) 435-4783
Mailing address
3801 5th St SE Ste 110
Puyallup, WA 98374-2106
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 1972565745
Proliance Surgeons Inc P S's National Provider Identifier is 1972565745, issued on Apr 5, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Puyallup, WA. The record was last updated on Oct 23, 2024.