| NPI | 1275341125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE EUGENE HESS Dpm 360-754-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2024-12-24 |
| Last Update Date | 2024-12-26 |