Organization · Type 2 NPI

Alderwood Ankle & Foot Clinic P.s.

Foot & Ankle Surgery Podiatrist · Lake Stevens, WA

NPI number 1942967393 Active

Practice location

9514 4th St NE Unit 201
Lake Stevens, WA 98258-1937

Fax (425) 397-7627

Specialties and licenses

Taxonomy	Code	License
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	None listed

Foot & Ankle Surgery Podiatrist: Definition to come...

Another provider at this address

Madeline Juliette Boyle, DPMFoot & Ankle Surgery Podiatrist Lake Stevens, WA NPI 1588305288

NPI record

NPI: 1942967393
Entity type: Organization (Type 2)
Issued: Nov 19, 2021
Last updated: Jan 19, 2022
Status: Active
Subpart: Yes of Alderwood Ankle and Foot Clinic, P.s.

Other names

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Lake Stevens Ankle and Foot Clinic · doing business as

Authorized official

Sophina Y Nunez
Vice President
(425) 778-5666

Verify this record

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About NPI 1942967393

Alderwood Ankle & Foot Clinic P.s.'s National Provider Identifier is 1942967393, issued on Nov 19, 2021. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lake Stevens, WA. The record was last updated on Jan 19, 2022.