Advanced Family Medicine
Podiatrist in Bellevue, WA. Organization (NPI-2).
NPI number1376763433
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1376763433
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Family Medicine
- Organization subpart
- No
- Enumeration date
- Apr 30, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | PO00000798 | WA | Yes |
Practice location
1940 116th Ave NeSuite 200
Bellevue, WA 98004-3097
Phone 425-453-6838 · Fax 425-456-0106
Mailing address
1940 116th Ave NeSuite 200
Bellevue, WA 98004-3097
Phone 425-453-6838 · Fax 425-456-0106
Authorized official
Irine Vaiman
Medical Director
4254536838
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