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Organization
S SOUND FOOT & ANKLE INC PS
Active
Organization
S SOUND FOOT & ANKLE INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EDWARD HORSMAN D.P.M. (PRESIDENT)
(360) 456-3171
Entity
Organization
Contact information
Practice address
3525 ENSIGN RD NE, SUITE L, OLYMPIA, WA 98506-5065
(360) 456-3171
(360) 456-2597
Mailing address
3525 ENSIGN RD NE, SUITE L, OLYMPIA, WA 98506-5065
(360) 456-3171
(360) 456-2597
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0206100001
DMERC
WA
05
—
1011626
—
WA
01
—
480006043
RR MEDICARE
WA
01
—
50D0636887
CLIA
WA
Enumeration date
07/17/2006
Last updated
06/20/2008
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