| NPI | 1992793772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL BERNSTEIN Doctor 360-792-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WA 442) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA 442) |
| 213ES0131X (Licence: WA 442) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: WA 442) | |
| 213EP0504X Podiatrist, Public Medicine (Licence: WA 442) | |
| 213ER0200X Podiatrist, Radiology (Licence: WA 442) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: WA 442) | |
| 261QP1100X Clinic/Center, Podiatric (Licence: WA 442) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2007-07-13 |