| NPI | 1669699781 |
|---|---|
| Doing Business As | FOOT & ANKLE CENTER OF LAKE CITY |
| Entity Type | Organization |
| Authorized Contact | RION AGAR BERG Owner, Director 206-368-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: WA PO00000286) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2012-04-18 |