Organization
PHILIP R. YEARIAN DPM PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP R. YEARIAN DPM (PRESIDENT)
(253) 756-0888
Entity
Organization
Contact information
Practice address
2420 S UNION AVE, STE 300, TACOMA, WA 98405-1322
(253) 756-0888
(253) 752-1704
Mailing address
2420 S UNION AVE, STE 300, TACOMA, WA 98405-1322
(253) 756-0888
(253) 752-1704
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121169
—
WA
Enumeration date
04/10/2008
Last updated
04/10/2008
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