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Organization
STEVENS FOOT & ANKLE LLP
Active
Organization
STEVENS FOOT & ANKLE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN J. WARDLE DPM (OWNER)
(425) 775-6996
Entity
Organization
Contact information
Practice address
7315 212TH ST SW STE 103, EDMONDS, WA 98026-7610
(425) 775-6996
(425) 670-8905
Mailing address
PO BOX 11009, OLYMPIA, WA 98508-1009
(425) 775-6996
(425) 670-8905
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POOOOOO411
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124633
L AND I
WA
05
—
7094816
—
WA
01
—
CH7422
MEDICARE RR
—
01
—
ST5742
REGENCE RIDER
—
Enumeration date
03/05/2007
Last updated
01/10/2008
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