| NPI | 1538337068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L. STANTON Owner 206-363-1683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: WA PO00000357) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA PO 00000357) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-10-21 |