# PROLIANCE SURGEONS, INC., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285874610
- **Authorized official:** MR. KENNETH G. OVERBEY (COO)
- **Authorized official phone:** (206) 838-2583

## Contact information

- **Practice address:** 805 MADISON ST STE 901, SEATTLE, WA 98104
- **Practice address phone:** (206) 264-8100
- **Practice address fax:** (206) 264-8689
- **Mailing address:** 805 MADISON ST STE 901, SEATTLE, WA 98104-1172
- **Mailing address phone:** (206) 264-8100
- **Mailing address fax:** (206) 264-8689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/25/2009
- **Last updated:** 08/16/2019