| NPI | 1841578705 |
|---|---|
| Doing Business As | ANKLE & FOOT SPECIALIST OF BONNEY LAKE |
| Entity Type | Organization |
| Authorized Contact | CHARLES R CHU Physician/Owner 425-449-2471 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WA po00000277) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2012-03-26 |