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Organization
TACOMA FOOT AND ANKLE CLINIC INC
Active
Organization
TACOMA FOOT AND ANKLE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HA QUANG NGUYEN DPM (OWNER)
(253) 272-0606
Entity
Organization
Contact information
Practice address
1206 S 11TH ST, SUITE 2, TACOMA, WA 98405-4090
(253) 272-0606
(253) 272-2118
Mailing address
1206 S 11TH ST, SUITE 2, TACOMA, WA 98405-4090
(253) 272-0606
(253) 272-2118
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000782
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1122399
—
WA
Enumeration date
06/18/2008
Last updated
06/01/2011
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