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Organization
EAST HILL FOOT AND ANKLE CLINIC
Active
Organization
EAST HILL FOOT AND ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NG DPM (OWNER)
(253) 859-1112
Entity
Organization
Contact information
Practice address
24837 104TH AVE SE, 101, KENT, WA 98030-6800
(253) 859-1112
(253) 859-1190
Mailing address
24837 104TH AVE SE, 101, KENT, WA 98030-6800
(253) 859-1112
(253) 859-1190
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
C600586258
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004971
—
WA
01
—
QMXPR0043826
MOLINA HEALTHCARE
WA
Enumeration date
10/26/2007
Last updated
03/08/2013
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