| NPI | 1396117305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK MACLENNAN HERRING Chairperson 509-926-1559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: WA 464) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: WA 464) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA 464) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |