Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Athena Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID G. FITZGERALD (CEO)
(206) 838-2599
Entity
Organization
Contact information
Practice address
6520 226TH PL SE, SUITE 205, ISSAQUAH, WA 98027-8969
(425) 392-8611
(425) 392-9012
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
601484763
WA
225100000X
Physical Therapist
601484763
WA
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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