Proliance Surgeons Inc., P.S. in Edmonds - Plastic Surgery Within The Head And Neck
Proliance Surgeons Inc., P.S. - NPI 1073540894
Proliance Surgeons Inc., P.S. is a Plastic Surgery Within The Head And Neck in Edmonds, Washington. Proliance Surgeons Inc., P.S. practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Proliance Surgeons Inc., P.S. is 1073540894. The last update date is 2023-09-27.
Proliance Surgeons Inc., P.S.'s current location address is 7315 212th St Sw Ste 201, Edmonds, Washington. You can contact this provider via phone number 4257788116 and fax number 4257759626. The mailing address for Proliance Surgeons Inc., P.S. is 7315 212th St Sw Ste 201, Edmonds, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Proliance Surgeons Inc., P.S. |
|---|---|
| Address | 7315 212th St Sw Ste 201, Edmonds, Washington |
| Phone Number | 4257788116 |
| Fax Number | 4257759626 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MGR PROVID |
|---|---|
| Authorized Official Name | Pleasant M. Cori |
| Telephone Number | 2068382585 |
NPI Number Detail
| NPI Number | 1073540894 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2023-09-27 |
Provider Mailing Address Detail
| Address | 7315 212th St Sw Ste 201 |
|---|---|
| City | Edmonds |
| State | Washington (WA) |
| Post Code | 980267610 |
| Phone Number | 4257788116 |
| Fax Number | 4257759626 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head And Neck |
|---|---|
| Taxonomy | 2082S0099X |
|
Definition: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1042735 | WA | -- | |
| 156966 | WA | WA LABOR & INDUSTRIES | |
| 700164800 | WA | OWCP |
Post Comment/ Review Below
What is the unique identification code assigned to Proliance Surgeons Inc., P.S. by the Centers for Medicare & Medicaid Services?
The Proliance Surgeons Inc., P.S. has been issued the NPI (National Provider Identifier) 1073540894. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Proliance Surgeons Inc., P.S.'s facilities are situated?
The facilities of Proliance Surgeons Inc., P.S. are physically located at the following address: 7315 212Th St Sw Ste 201, Edmonds, WA, 980267610.
What is Proliance Surgeons Inc., P.S.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Proliance Surgeons Inc., P.S. is Plastic Surgery Within The Head And Neck, and the corresponding taxonomy classification code for this specialized field is 2082S0099X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073540894 to Proliance Surgeons Inc., P.S.?
The Centers for Medicare & Medicaid Services assigned the 1073540894 to Proliance Surgeons Inc., P.S. on 2006-06-27.
As of what date was the information regarding Proliance Surgeons Inc., P.S., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Proliance Surgeons Inc., P.S., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-27.
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