Organization
EAST HILL FOOT AND ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NG DPM (OWNER)
(253) 859-1112
Entity
Organization
Contact information
Practice address
24837 104TH AVE SE, 101, KENT, WA 98030-6800
(253) 859-1112
(253) 859-1190
Mailing address
24837 104TH AVE SE, 101, KENT, WA 98030-6800
(253) 859-1112
(253) 859-1190
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
C600586258
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004971
—
WA
01
—
QMXPR0043826
MOLINA HEALTHCARE
WA
Enumeration date
10/26/2007
Last updated
03/08/2013
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