| NPI | 1881860591 |
|---|---|
| Doing Business As | ACTIVE FOOT & ANKLE |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN MOORE Billing Manager 425-775-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO0000489) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric (Licence: WA PO00000489) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2013-12-20 |