Ankle & Foot Specialists Of Puget Sound, Ps
Podiatrist in Bellevue, WA. Organization (NPI-2).
NPI number1346548658
StatusActive
Last updated in NPPESJul 24, 2012
Details
- NPI
- 1346548658
- Entity type
- Organization (NPI-2)
- Legal business name
- Ankle & Foot Specialists Of Puget Sound, Ps
- Organization subpart
- Yes
- Enumeration date
- Mar 10, 2011
- Last updated
- Jul 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | – | – | |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – |
Other names
- Factoria Foot & Ankle Clinic (Doing Business As)
Practice location
4140 Factoria Blvd SeSuite 1b
Bellevue, WA 98006-5261
Phone 425-644-2313 · Fax 425-644-4739
Mailing address
2728 E MainSuite A
Puyallup, WA 98372-3198
Phone 253-841-2006 · Fax 253-840-6691
Authorized official
Charles R Chu
Owner
4254492471
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