Organization
PROLIANCE SURGEONS INC PS
Active
Other names
Proliance Hand Wrist and Elbow Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID G. FITZGERALD (CEO)
(206) 838-2599
Entity
Organization
Contact information
Practice address
1810 116TH AVE NE, SUITE D-4, BELLEVUE, WA 98004-3058
(425) 283-5230
(425) 283-5236
Mailing address
805 MADISON ST., SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
601484763
WA
225XH1200X
Hand Occupational Therapist
601484763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042990
—
WA
Enumeration date
12/19/2010
Last updated
01/25/2017
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