# TACOMA FOOT AND ANKLE CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144481557
- **Authorized official:** DR. HA QUANG NGUYEN DPM (OWNER)
- **Authorized official phone:** (253) 272-0606

## Contact information

- **Practice address:** 1206 S 11TH ST, SUITE 2, TACOMA, WA 98405-4090
- **Practice address phone:** (253) 272-0606
- **Practice address fax:** (253) 272-2118
- **Mailing address:** 1206 S 11TH ST, SUITE 2, TACOMA, WA 98405-4090
- **Mailing address phone:** (253) 272-0606
- **Mailing address fax:** (253) 272-2118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO00000782 | WA | Yes |

## Other

- **Enumeration date:** 06/18/2008
- **Last updated:** 06/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1122399 | — | WA |