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 |