# ANKLE & FOOT CLINIC OF RENTO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANKLE AND FOOT CLINIC OF RENTON PS
- **Other names:** Valley Podiatric Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205903515
- **Legal business name:** ANKLE AND FOOT CLINIC OF RENTON PS
- **Authorized official:** DR. GERALD T KUWADA DPM (DIRECTOR)
- **Authorized official phone:** (425) 251-9174

## Contact information

- **Practice address:** 275 SW 41ST ST, RENTON, WA 98057-4930
- **Practice address phone:** (425) 251-9174
- **Practice address fax:** (425) 251-0758
- **Mailing address:** 275 SW 41ST ST, RENTON, WA 98057-4930
- **Mailing address phone:** (425) 251-9174
- **Mailing address fax:** (425) 251-0758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 09/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 121478 | LABOR & INDUSTRIES | WA |
| 05 | — | 7089626 | — | WA |
| 01 | — | VA8877 | REGENCE BLUE SHIELD | — |