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Organization
FOOT & ANKLE CENTER OF WENATCHEE, P.S.
Active
Organization
FOOT & ANKLE CENTER OF WENATCHEE, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YESSICA G BEASLEY (ASSISTANT MANAGER)
(509) 662-2970
Entity
Organization
Contact information
Practice address
616 N CHELAN AVE, WENATCHEE, WA 98801-2025
(509) 662-2970
(509) 665-9808
Mailing address
616 N CHELAN AVE, WENATCHEE, WA 98801-2025
(509) 662-2970
(509) 665-9808
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
600366213
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
600366213
WA
213ES0131X
Foot Surgery Podiatrist
600366213
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35677
PROF GROUP # FOR L&I
WA
05
—
7185101
—
WA
01
—
CS9149
PROF GROUP # FOR RR MEDIC
WA
Enumeration date
04/25/2007
Last updated
08/16/2023
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