MARK DALE NELLERMOE

UNIVERSITY PLACE, WA
NPI1386733541
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: WA  PO00000507)
Enumeration Date2006-10-12
Last Update Date2011-07-11
Business Address
Dr. MARK DALE NELLERMOE D.P.M.
3929 BRIDGEPORT WAY W STE 308
UNIVERSITY PLACE, WA 98466-4455
Phone number: 253-627-4181
Mailing Address
Dr. MARK DALE NELLERMOE D.P.M.
3929 BRIDGEPORT WAY W STE 308
UNIVERSITY PLACE, WA 98466-4455
Phone number: 253-627-4181