Organization
PROLIANCE SURGEONS INC PS
Active
Other names
Evergreen Surgical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID G. FITZGERALD (CEO)
(206) 838-2590
Entity
Organization
Contact information
Practice address
14841 179TH AVE SE, SUITE 220, MONROE, WA 98272-1127
(360) 863-8141
(360) 805-9781
Mailing address
720 OLIVE WAY, SUITE 1505, SEATTLE, WA 98101-1878
(206) 838-2590
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
WA
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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