| NPI | 1679751135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HILLIARD Owner 253-445-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: WA PO00000267) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |