| NPI | 1194993253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH VERITY ANDERSON Owner 360-540-0374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO455) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2012-07-03 |