Organization
PROLIANCE SURGEONS INC P S
Active
Other names
Cedar Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID G. FITZGERALD (CEO)
(206) 838-2599
Entity
Organization
Contact information
Practice address
3124 SOUTH 19TH ST., SUITE 220, TACOMA, WA 98405-2433
(253) 301-5050
(253) 301-5070
Mailing address
805 MADISON ST., SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
601484763
WA
Other
Enumeration date
06/06/2006
Last updated
11/01/2011
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