Organization
PROLIANCE SURGEONS INC., P.S.
Active
Other names
Proliance Eastside Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID G. FITZGERALD (CEO)
(206) 838-2599
Entity
Organization
Contact information
Practice address
6505 226TH PL SE, SUITE 101, ISSAQUAH, WA 98027-8905
(425) 313-0775
(425) 313-4704
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
06/05/2006
Last updated
06/29/2011
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