| NPI | 1033382064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP R. YEARIAN President 253-756-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA P000000535) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |