# DR. JAMES G PRESTRIDGE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1730246182
- **Gender:** Man
- **Credential:** D.P.M

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO60001369 | WA | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 11/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1722PR | REGENCE | WA |
| 01 | — | 236866 | L & I | WA |
| 01 | — | 4409000001 | DMERC | WA |
| 01 | — | 8514374 | DSHS | WA |