Individual provider · Type 1 NPI
Mark Dale Nellermoe, D.P.M.
Foot & Ankle Surgery Podiatrist · University Place, WA
NPI number
1386733541
Active
Practice location
3929 Bridgeport Way W Ste 308
University Place, WA 98466-4455
Fax (253) 272-5922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO00000507 (WA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
4 other providers at this address
- Fasa Family Wellness PLLCFoot & Ankle Surgery Podiatrist University Place, WA NPI 1285026443
- Mark D Nellermoe Professional Service CorporationPodiatrist University Place, WA NPI 1194145094
- Caleb Paul Thomas, DPMPodiatrist University Place, WA NPI 1578182812
- Thomas Matthew Burghardt, D.P.M.Podiatrist University Place, WA NPI 1902829716
About NPI 1386733541
Mark Dale Nellermoe, D.P.M.'s National Provider Identifier is 1386733541, issued on Oct 12, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in University Place, WA. The record was last updated on Jul 11, 2011.