| Proliance Surgeons, Inc., P.s. | |
|
12911 120th Ave Ne Ste H210 Kirkland WA 98034-3065 | |
| (425) 823-4000 | |
| (425) 821-3550 |
| Full Name | Proliance Surgeons, Inc., P.s. |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 12911 120th Ave Ne Ste H210, Kirkland, Washington |
| Authorized Official Name and Position | Cori M. Pleasant (MGR PROVIDER RELATIONS/ENROLLMENT) |
| Authorized Official Contact | 2068382585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proliance Surgeons, Inc., P.s. 12911 120th Ave Ne Ste G10 Kirkland WA 98034-3048 Ph: (206) 823-4000 | Proliance Surgeons, Inc., P.s. 12911 120th Ave Ne Ste H210 Kirkland WA 98034-3065 Ph: (425) 823-4000 |
| NPI Number | 1669411617 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 08/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669411617 | NPI | - | NPPES |
| 1015791 | Medicaid | WA | |
| 151292 | Other | WA | WA LABOR & INDUSTRIES |
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