# PROLIANCE SURGEONS, INC., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Retina Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467721498
- **Authorized official:** MR. DAVID G. FITZGERALD (CEO)
- **Authorized official phone:** (206) 838-2599

## Contact information

- **Practice address:** 1750 112TH AVE NE, SUITE D-050, BELLEVUE, WA 98004-3752
- **Practice address phone:** (206) 215-3850
- **Practice address fax:** (206) 215-3870
- **Mailing address:** 805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
- **Mailing address phone:** (206) 264-8100
- **Mailing address fax:** (206) 264-8689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | WA | Yes |

## Other

- **Enumeration date:** 12/20/2011
- **Last updated:** 12/20/2011