| Organization Name: | PROLIANCE SURGEONS, INC., P.S. |
| NPI Number: | 1467845321 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID G. FITZGERALD (CEO) |
| Mailing Address: | 16527 Alderwood Mall Pkwy Lynnwood |
| State: | WA US |
| Postal Code: | 980373202 |
| Phone Number: | 4257410056 |
| Fax Number: | 4257410057 |
| NPI Enumeration Date: | 03/16/2015 |
| NPI Last Update Date: | 06/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 601484763 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |