NPI 1194919829

Podiatric Physicians and Surgeoans Ps

Organisation Podiatrist Seattle, WA

Practice location

Address: 1101 Madison St Suite 1120, Seattle, WA 98104-1306
Phone: (206) 447-0302
Fax: (206) 682-5951
Mailing address: 1101 Madison St Suite 1120, Seattle, WA 98104-3558

Authorised official

Name: Ronald S Krivosha
Title: Podiatrist
Phone: (206) 447-0302

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence POOOO177 (WA)

Other Podiatrist providers in Washington →

Registry record

NPI: 1194919829
Entity type: Organization
NPI issued: 6 Sep 2007
Record last updated: 2 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.