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Organization

PROLIANCE SURGEONS, INC., P.S.

Active
Other names
PROLIANCE EASTSIDE SURGICAL SPECIALISTS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK BARNHART (CEO)
(206) 838-3796
Entity
Organization

Contact information

Practice address
1231 116TH AVE NE STE 535, BELLEVUE, WA 98004-3804
(425) 688-1916
Mailing address
1231 116TH AVE NE STE 535, BELLEVUE, WA 98004-3804
(425) 688-1916

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2086X0206X
Surgical Oncology Physician
208C00000X
Colon & Rectal Surgery Physician

Other

Enumeration date
01/04/2021
Last updated
01/04/2021
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