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Organization
THERESA M LEDBETTER DPM PC
Active
Organization
THERESA M LEDBETTER DPM PC
Active
Other names
Theresa Ledbetter DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA MARIE LEDBETTER CHEN DPM (PRESIDENT)
(509) 545-5906
Entity
Organization
Contact information
Practice address
704 W MARGARET ST, PASCO, WA 99301-4127
(509) 545-5906
(509) 547-5999
Mailing address
704 W MARGARET, PASCO, WA 99301
(509) 545-5906
(509) 547-5999
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
DP00140
OR
213E00000X
Podiatrist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005412
—
WA
Enumeration date
11/08/2006
Last updated
01/15/2008
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