NPI | 1679025902 |
---|---|
Doing Business As | FOOT & ANKLE SURGICAL ASSOCIATES, PLLC |
Entity Type | Organization |
Authorized Contact | DANA EBERHARD Credentialing Specialist 360-706-2767 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA 0-000-506-137) |
Enumeration Date | 2016-11-03 |
Last Update Date | 2021-05-20 |