| NPI | 1720137904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS S CARTER Owner 509-585-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA 097343) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-02-28 |