Organization
FOOT AND ANKLE SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL E GREENAN DPM (MBR/ OWNER)
(206) 248-3668
Entity
Organization
Contact information
Practice address
17820 1ST AVE S, SUITE 101, BURIEN, WA 98148-1794
(206) 248-3668
(206) 244-2499
Mailing address
17820 1ST AVE S, SUITE 101, BURIEN, WA 98148-1794
(206) 592-5000
(206) 824-9510
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5823620001
DME SUPPLIER NUMBER
WA
05
—
7132327
—
WA
01
—
DE6917
RR MEDICARE
WA
Enumeration date
05/10/2006
Last updated
05/13/2014
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