| NPI | 1972812196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WHITMAN SHEAFOR President 360-647-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO60134920) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2014-10-08 |