| |
1812 E Edison Ave, Sunnyside, WA 98944-1653 | |
(509) 453-4614 | |
(509) 225-2712 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1812 E Edison Ave, Sunnyside, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760974497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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3800 Summitview Ave, Yakima, WA 98902-2715 Ph: (509) 248-7849 | 1812 E Edison Ave, Sunnyside, WA 98944-1653 Ph: (509) 453-4614 |