Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH G. OVERBEY (COO)
(206) 838-2583
Entity
Organization
Contact information
Practice address
805 MADISON ST STE 901, SEATTLE, WA 98104
(206) 264-8100
(206) 264-8689
Mailing address
805 MADISON ST STE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2009
Last updated
08/16/2019
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