| NPI | 1669345112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY M HOOVER Doctor/Owner 253-973-6590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |