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Individual
DR. DARREN J WARDLE
Active
Individual
DR. DARREN J WARDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000411
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40316
L AND I
—
01
—
480031524
MEDICARE RR
—
01
—
WA4712
REGENCE RIDER
WA
Enumeration date
10/25/2006
Last updated
06/13/2018
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