| NPI | 1982703583 |
|---|---|
| Former Legal Business Name | BELLINGHAM FOOT & ANKLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | NATHAN LARSON Owner 208-305-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WA PO60697482) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-09-06 |