| |
14692 179th Ave Se, Monroe, WA 98272 | |
(360) 794-1266 | |
(425) 885-7004 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 14692 179th Ave Se, Monroe, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538345194 | NPI | - | NPPES |
480015164 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 246 (Washington) | Primary |
Mailing Address | Practice Location Address |
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Po Box 2032, Redmond, WA 98073-2032 Ph: (425) 885-7004 | 14692 179th Ave Se, Monroe, WA 98272 Ph: (360) 794-1266 |