Podiatric Physicians And Surgeoans Ps
Podiatrist in Seattle, WA. Organization (NPI-2).
NPI number1194919829
StatusActive
Last updated in NPPESMay 2, 2008
Details
- NPI
- 1194919829
- Entity type
- Organization (NPI-2)
- Legal business name
- Podiatric Physicians And Surgeoans Ps
- Organization subpart
- No
- Enumeration date
- Sep 6, 2007
- Last updated
- May 2, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | POOOO177 | WA | Yes |
Other names
- Dr Ronald Krivosha (Doing Business As)
Practice location
1101 Madison StSuite 1120
Seattle, WA 98104-1306
Phone 206-447-0302 · Fax 206-682-5951
Mailing address
1101 Madison StSuite 1120
Seattle, WA 98104-3558
Phone 206-447-0302 · Fax 206-681-5951
Authorized official
Ronald S Krivosha
Podiatrist
2064470302
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