# ADVANCED FOOT AND ANKLE CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720137904
- **Authorized official:** TRAVIS S CARTER DPM (OWNER)
- **Authorized official phone:** (509) 585-3622

## Contact information

- **Practice address:** 3730 PLAZA WAY STE 6500, KENNEWICK, WA 99338-2718
- **Practice address phone:** (509) 585-3622
- **Practice address fax:** (509) 585-3624
- **Mailing address:** 3730 PLAZA WAY STE 6500, KENNEWICK, WA 99338-2718
- **Mailing address phone:** (509) 585-3622
- **Mailing address fax:** (509) 585-3624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 097343 | WA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 02/28/2018