| NPI | 1447382122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN HOWARD LE BARON Podiatrist 206-624-6170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA P000000147) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-04-13 |