NPI | 1396702791 |
---|---|
Doing Business As | GATEWAY PODIATRY |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER PHILLIPS Billing Manager 360-667-3047 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Enumeration Date | 2006-04-28 |
Last Update Date | 2013-09-24 |