Organization
TACOMA FOOT AND ANKLE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HA QUANG NGUYEN DPM (OWNER)
(253) 272-0606
Entity
Organization
Contact information
Practice address
1206 S 11TH ST, SUITE 2, TACOMA, WA 98405-4090
(253) 272-0606
(253) 272-2118
Mailing address
1206 S 11TH ST, SUITE 2, TACOMA, WA 98405-4090
(253) 272-0606
(253) 272-2118
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000782
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1122399
—
WA
Enumeration date
06/18/2008
Last updated
06/01/2011
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