Organization · Type 2 NPI
Advanced Foot and Ankle Clinic PC
Foot & Ankle Surgery Podiatrist · Kennewick, WA
NPI number
1720137904
Active · reactivated May 2, 2008
Practice location
3730 Plaza Way Ste 6500
Kennewick, WA 99338-2718
Fax (509) 585-3624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 097343 (WA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1720137904
Advanced Foot and Ankle Clinic PC's National Provider Identifier is 1720137904, issued on Jan 9, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Kennewick, WA. The record was last updated on Feb 28, 2018.