Organization
LIBERTY LAKE FOOT & ANKLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DOW DPM (DPM)
(509) 742-0093
Entity
Organization
Contact information
Practice address
23505 E APPLEWAY AVE STE 104, LIBERTY LAKE, WA 99019-6003
(509) 742-0093
Mailing address
23505 E APPLEWAY AVE STE 104, LIBERTY LAKE, WA 99019-6003
(509) 742-0093
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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