Organization · NPI-2
A Home Of Happy Feet Ps
Clinic/Center, Podiatric · Spokane, WA
NPI number1740461805
StatusActive
Last updated in NPPESMar 28, 2012
Details
- NPI
- 1740461805
- Entity type
- Organization (NPI-2)
- Legal business name
- A Home Of Happy Feet Ps
- Organization subpart
- No
- Enumeration date
- Nov 16, 2007
- Last updated
- Mar 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP1100X | Clinic/Center, Podiatric | 312 | WA | Yes |
Practice location
225 E 3rd AveSuite # 5
Spokane, WA 99202-1422
Phone 509-838-2929 · Fax 509-838-2920
Mailing address
225 E 3rd AveSuite # 5
Spokane, WA 99202-1422
Phone 509-838-2929 · Fax 509-838-2920
Authorized official
Ronald J Douglas
President
5098382929
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