| NPI | 1891001921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY STEPHEN KARUZA Owner 360-647-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: WA 0000289) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |