| NPI | 1740408293 |
|---|---|
| Doing Business As | EASTSIDE PODIATRY ASC |
| Entity Type | Organization |
| Authorized Contact | TAE SOON PARK Medical Director 425-893-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: WA 301) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2015-09-28 |