| NPI | 1134573272 |
|---|---|
| Doing Business As | MGH FAMILY HEALTH, ANKLE AND FOOT |
| Entity Type | Organization |
| Authorized Contact | ERIC MOLL Chief Executive Officer 360-427-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2017-04-14 |