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Organization
SPOKANE PODIATRY PS
Active
Organization
SPOKANE PODIATRY PS
Active
Other names
Medical Foot Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEWART PUGMIRE BRIM DPM (OWNER)
(509) 928-1990
Entity
Organization
Contact information
Practice address
12109 E BROADWAY AVE STE C, SPOKANE VALLEY, WA 99206-6133
(509) 928-1990
(509) 928-2933
Mailing address
12109 E BROADWAY AVE STE C, SPOKANE VALLEY, WA 99206-6133
(509) 928-1990
(509) 928-2933
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
601652962
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9046152
—
WA
Enumeration date
03/23/2007
Last updated
12/28/2023
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