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Organization
PODIATRIC PHYSICIANS AND SURGEOANS PS
Active
Organization
PODIATRIC PHYSICIANS AND SURGEOANS PS
Active
Other names
dr ronald krivosha
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD S KRIVOSHA DPM (PODIATRIST)
(206) 447-0302
Entity
Organization
Contact information
Practice address
1101 MADISON ST, SUITE 1120, SEATTLE, WA 98104-1306
(206) 447-0302
(206) 682-5951
Mailing address
1101 MADISON ST, SUITE 1120, SEATTLE, WA 98104-3558
(206) 447-0302
(206) 681-5951
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POOOO177
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010701
—
WY
Enumeration date
09/06/2007
Last updated
05/02/2008
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