Organization · Type 2 NPI
Three Rivers Foot and Ankle Clinic, LLC
Foot & Ankle Surgery Podiatrist · Kelso, WA
NPI number
1114030236
Active
Practice location
1712 Allen St
Kelso, WA 98626-4907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO00000810 (WA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1114030236
Three Rivers Foot and Ankle Clinic, LLC's National Provider Identifier is 1114030236, issued on Aug 15, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Kelso, WA. The record was last updated on Aug 22, 2020.