# JOHN V RICE DPM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHN V RICE DPM
- **Other names:** Ankle & Foot Physicians and Surgeons
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841402765
- **Legal business name:** JOHN V RICE DPM
- **Authorized official:** MRS. GRETCHEN RICE (OFFICE MANAGER)
- **Authorized official phone:** (360) 427-0366

## Contact information

- **Practice address:** 1812 N 13TH LOOP ROAD, SHELTON, WA 98584
- **Practice address phone:** (360) 427-0366
- **Practice address fax:** (360) 427-5879
- **Mailing address:** 1812 N 13TH LOOP RD, SHELTON, WA 98584-2169
- **Mailing address phone:** (360) 427-0366
- **Mailing address fax:** (360) 427-5879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | P0412 | WA | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | P0671 | WA | — |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 06/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7114259 | — | WA |
