NPI 1124099601

Douglas J Ichikawa, DPM

Practitioner Podiatrist Bellevue, WA

Practice location

Address: 1609 116th Ave NE, Bellevue, WA 98004-3024
Phone: (425) 283-5093
Fax: (425) 283-5095

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence PO00000422 (WA)

Other Podiatrist providers in Washington →

Registry record

NPI: 1124099601
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2006
Record last updated: 24 Dec 2012

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.