Individual provider · Type 1 NPI
Garrett Parker Peresko
Foot & Ankle Surgery Podiatrist · Morton, WA
NPI number
1437648011
Active
Practice location
531 Adams Ave
Morton, WA 98356-9323
Mailing address
PO Box 1138
Morton, WA 98356-0019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO61185768 (WA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1437648011
Garrett Parker Peresko's National Provider Identifier is 1437648011, issued on May 9, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Morton, WA. The record was last updated on Sep 24, 2021.