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Organization
METROLIANCE FOOT AND ANKLE GROUP
Active
Organization
METROLIANCE FOOT AND ANKLE GROUP
Active
Other names
Eastside Podiatry ASC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAE SOON PARK D.P.M. (MEDICAL DIRECTOR)
(425) 893-8100
Entity
Organization
Contact information
Practice address
2950 NORTHUP WAY, SUITE 115, BELLEVUE, WA 98004-1406
(425) 893-8100
(425) 893-8111
Mailing address
2950 NORTHUP WAY, SUITE 115, BELLEVUE, WA 98004-1406
(425) 893-8100
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
301
WA
Other
Enumeration date
04/22/2007
Last updated
09/28/2015
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