| NPI | 1558897942 |
|---|---|
| Doing Business As | OLYMPIA PODIATRY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEROD STANLEY Co Owner 615-605-9249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WA PO 60735213) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2024-01-02 |