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Organization
ANKLE & FOOT CLINIC OF RENTO
Active
Organization
ANKLE & FOOT CLINIC OF RENTO
Active
Parent organization
ANKLE AND FOOT CLINIC OF RENTON PS
Other names
Valley Podiatric Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANKLE AND FOOT CLINIC OF RENTON PS
Authorized official
DR. GERALD T KUWADA DPM (DIRECTOR)
(425) 251-9174
Entity
Organization
Contact information
Practice address
275 SW 41ST ST, RENTON, WA 98057-4930
(425) 251-9174
(425) 251-0758
Mailing address
275 SW 41ST ST, RENTON, WA 98057-4930
(425) 251-9174
(425) 251-0758
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121478
LABOR & INDUSTRIES
WA
05
—
7089626
—
WA
01
—
VA8877
REGENCE BLUE SHIELD
—
Enumeration date
11/29/2006
Last updated
09/24/2008
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