| NPI | 1972238863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY PLYLER Co Owner 360-733-3710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| 363LA2100X Nurse Practitioner, Acute Care | |
| Enumeration Date | 2022-07-23 |
| Last Update Date | 2022-09-09 |