# PROLIANCE SURGEONS, INC., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cascade Ear Nose and Throat Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821158544
- **Authorized official:** MR. DAVID G FITZGERALD (CEO)
- **Authorized official phone:** (206) 838-2599

## Contact information

- **Practice address:** 111 S 13TH ST, MOUNT VERNON, WA 98274-4105
- **Practice address phone:** (360) 336-2178
- **Practice address fax:** (360) 588-7840
- **Mailing address:** 805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
- **Mailing address phone:** (206) 264-8100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 601484763 | WA | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 12/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7009285 | — | WA |