Bellevue Podiatric Physicians PLLC
Podiatrist in Bellevue, WA. Organization (NPI-2).
NPI number1467555888
StatusActive
Last updated in NPPESFeb 27, 2019
Details
- NPI
- 1467555888
- Entity type
- Organization (NPI-2)
- Legal business name
- Bellevue Podiatric Physicians PLLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2006
- Last updated
- Feb 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Practice location
1609 116th Ave NeBellevue, WA 98004
Phone 425-283-5093 · Fax 425-283-5095
Mailing address
1609 116th Ave NeBellevue, WA 98004
Phone 425-283-5093 · Fax 425-283-5095
Authorized official
Suzanne M Wilson
Physican/Owner
4252835093
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