NPI | 1649561168 |
---|---|
Doing Business As | ANKLE & FOOT SPECIALIST OF PUYALLUP |
Entity Type | Organization |
Authorized Contact | CHARLES R CHU Physician/ Owner 425-449-2471 |
Organization Subpart ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: WA PO 60106729) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: WA PO 30106729) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO 60106729) | |
Enumeration Date | 2011-05-02 |
Last Update Date | 2012-03-26 |