| Proliance Surgeons, Inc., P.s. | |
|
24060 Se Kent Kangley Rd Maple Valley WA 98038-6851 | |
| (253) 358-7708 | |
| (425) 656-5047 |
| Full Name | Proliance Surgeons, Inc., P.s. |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 24060 Se Kent Kangley Rd, Maple Valley, Washington |
| Authorized Official Name and Position | Laura Kleisle (CHIEF RISK OFFICER) |
| Authorized Official Contact | 2068382590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Proliance Surgeons, Inc., P.s. 4011 Talbot Rd S Ste 300 Renton WA 98055-5791 Ph: () - | Proliance Surgeons, Inc., P.s. 24060 Se Kent Kangley Rd Maple Valley WA 98038-6851 Ph: (253) 358-7708 |
| NPI Number | 1962894626 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 05/28/2021 |
| Medicare PECOS PAC ID | 8527972900 |
|---|---|
| Medicare Enrollment ID | O20170907003062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962894626 | NPI | - | NPPES |
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