| NPI | 1992240865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEKKER NOLAN MCKEEVER President 360-582-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric (Licence: WA 60673015) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2018-10-03 |