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Organization
PROLIANCE SURGERY CENTER AT VALLEY, LLC
Active
Organization
PROLIANCE SURGERY CENTER AT VALLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY WELLMAN (VP ASC OPERATIONS)
(206) 838-3767
Entity
Organization
Contact information
Practice address
4009 TALBOT ROAD S, SUITE 200, RENTON, WA 98055
(425) 226-2041
(425) 226-2402
Mailing address
4011 TALBOT RD S STE 300, RENTON, WA 98055-5791
(425) 226-2041
(425) 226-2402
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/01/2020
Last updated
08/20/2021
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