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Organization
STUART CARDON
Active
Organization
STUART CARDON
Active
Other names
Cascade Foot and Ankle PLLC, Creekside Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE MARQUEZ (BILLING AND CREDENTIALING)
(509) 225-3668
Entity
Organization
Contact information
Practice address
2400 RACQUET LN, YAKIMA, WA 98902-6109
(509) 225-3668
(509) 225-3448
Mailing address
2400 RACQUET LN, YAKIMA, WA 98902-6109
(509) 225-3668
(509) 225-3448
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PO00000565
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7142219
—
WA
Enumeration date
01/10/2007
Last updated
05/04/2020
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