Mark D Nellermoe Professional Service Corporation | |
3929 Bridgeport Way W Ste 308, University Place, WA 98466-4455 | |
(253) 627-4181 | |
(253) 272-5922 |
Full Name | Mark D Nellermoe Professional Service Corporation |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 3929 Bridgeport Way W Ste 308, University Place, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194145094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | PO00000507 (Washington) | Primary |
Provider Name | Mark D Nellermoe |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1386733541 PECOS PAC ID: 3971795287 Enrollment ID: I20101005000882 |
Mailing Address | Practice Location Address |
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Mark D Nellermoe Professional Service Corporation 3929 Bridgeport Way W Ste 308, University Place, WA 98466-4455 Ph: (253) 627-4181 | Mark D Nellermoe Professional Service Corporation 3929 Bridgeport Way W Ste 308, University Place, WA 98466-4455 Ph: (253) 627-4181 |
Dr. Cynthia A Fenberg, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5225 Cirque Dr W, Suite 100, University Place, WA 98467 Phone: 253-474-4353 Fax: 253-474-5850 | |
Cynthia A Fenberg Podiatrist Medicare: Medicare Enrolled Practice Location: 5225 Cirque Dr W, Ste 100, University Place, WA 98467 Phone: 253-474-4353 Fax: 253-474-5850 | |
Dr. Mark Dale Nellermoe, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-627-4181 Fax: 253-272-5922 | |
Caleb Paul Thomas, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-272-2999 Fax: 253-272-4699 | |
Dr. Thomas Matthew Burghardt, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466 Phone: 253-272-2999 Fax: 253-272-4699 |