NPI | 1629254339 |
---|---|
Entity Type | Organization |
Authorized Contact | FRED J HAWLEY President/Owner 360-653-2326 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO676) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA PO676) |
335E00000X Prosthetic/Orthotic Supplier (Licence: WA PO676) | |
Enumeration Date | 2008-01-11 |
Last Update Date | 2008-03-07 |