PROLIANCE SURGEONS INC. P.S. NPI 1467721498

NPI Information

NPI: 1467721498
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: THE RETINA SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1750 112TH AVE NE
SUITE D-050
BELLEVUE, WA
ZIP 98004
Phone: (206) 215-3850
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PROLIANCE SURGEONS, INC., P.S. is an ambulatory surgical clinic center in Bellevue, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1467721498. The provider is registered as an organization entity type.
The provider Is Doing Business As The Retina Surgery Center.

The provider's business location address is:

1750 112TH AVE NE
SUITE D-050
BELLEVUE, WA
ZIP 98004-752
Phone: (206) 215-3850
Fax: (206) 215-3870

The provider's authorized official is David G. Fitzgerald .
The authorized official title is Ceo and has the following contact phone number (206) 838-2599.

The enumeration date for this NPI number is 12/20/2011 and was last updated on 12/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical		WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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