Proliance Surgeons Inc., P.S. in Renton - Surgery
Proliance Surgeons Inc., P.S. - NPI 1699718973
Proliance Surgeons Inc., P.S. is a Surgery in Renton, Washington. Proliance Surgeons Inc., P.S. practices all healthcare services and medical treatments related to Surgery. The NPI Number for Proliance Surgeons Inc., P.S. is 1699718973. The last update date is 2020-08-22.
Proliance Surgeons Inc., P.S.'s current location address is 1412 Sw 43rd St, Renton, Washington. You can contact this provider via phone number 4252286076 and fax number 4252265224. The mailing address for Proliance Surgeons Inc., P.S. is 1412 Sw 43rd St, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Proliance Surgeons Inc., P.S. |
|---|---|
| Address | 1412 Sw 43rd St, Renton, Washington |
| Phone Number | 4252286076 |
| Fax Number | 4252265224 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Fitzgerald G David |
| Telephone Number | 2068382599 |
NPI Number Detail
| NPI Number | 1699718973 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1412 Sw 43rd St |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980554801 |
| Phone Number | 4252286076 |
| Fax Number | 4252265224 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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What is the Proliance Surgeons Inc., P.S.'s unique identification number?
The Proliance Surgeons Inc., P.S. has been assigned the NPI (National Provider Identifier) Number 1699718973 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Proliance Surgeons Inc., P.S. is physically located?
The Proliance Surgeons Inc., P.S. is physically situated at the following address: 1412 Sw 43Rd St, Renton, WA, 980554801.
What is the Proliance Surgeons Inc., P.S.'s specialty and taxonomy code?
The Proliance Surgeons Inc., P.S.'s specialty is Surgery, and the corresponding taxonomy code is 208600000X.
When did the Proliance Surgeons Inc., P.S. receive its 1699718973?
The Proliance Surgeons Inc., P.S. was issued its 1699718973 on 2006-06-14, which is the date when the organization was assigned this unique identifier.
As of what date were the Proliance Surgeons Inc., P.S.'s details last updated?
The information pertaining to the Proliance Surgeons Inc., P.S., including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1932102142
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