| Organization Name: | PROLIANCE SURGEONS, INC., P.S. |
| NPI Number: | 1073768719 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID G FITZGERALD (CEO) |
| Mailing Address: | 510 8th Avenue Northeast Suite 110 Issaquah |
| State: | WA US |
| Postal Code: | 980290000 |
| Phone Number: | 4258903774 |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2008 |
| NPI Last Update Date: | 11/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |