| NPI | 1295030971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD G SMITH Owner 253-845-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: WA PO 60188334) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-26 |