Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
The Eye Surgeons Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID G. FITZGERALD (CEO)
(206) 838-2599
Entity
Organization
Contact information
Practice address
502 S M ST, TACOMA, WA 98405-3728
(253) 301-4953
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
601484763
WA
Other
Enumeration date
04/17/2017
Last updated
05/01/2017
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