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Organization

PROLIANCE SURGEONS, INC., P.S.

Active
Other names
Cascade Ear Nose and Throat Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID G FITZGERALD (CEO)
(206) 838-2599
Entity
Organization

Contact information

Practice address
111 S 13TH ST, MOUNT VERNON, WA 98274-4105
(360) 336-2178
(360) 588-7840
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601484763
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7009285
WA
Enumeration date
12/11/2006
Last updated
12/27/2013
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