Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Northwest Orthopaedic and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID G. FITZGERALD (CEO)
(206) 838-2599
Entity
Organization
Contact information
Practice address
512 N YOUNG ST, SUITE C, KENNEWICK, WA 99336-7806
(509) 572-2605
(509) 572-2607
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
03/30/2012
Last updated
01/30/2014
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