| NPI | 1093836652 |
|---|---|
| Doing Business As | ACTIVE FOOT & ANKLE |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN MOORE Billing Manager 425-775-1505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-12-20 |