| NPI | 1053618918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD G HOVANCSEK Podiatrist 360-943-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: WA PO00000155) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2012-02-02 |