Organization
MARK D NELLERMOE PROFESSIONAL SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D NELLERMOE DPM (OWNER)
(253) 627-4181
Entity
Organization
Contact information
Practice address
3929 BRIDGEPORT WAY W STE 308, UNIVERSITY PLACE, WA 98466-4455
(253) 627-4181
(253) 272-5922
Mailing address
3929 BRIDGEPORT WAY W STE 308, UNIVERSITY PLACE, WA 98466-4455
(253) 627-4181
(253) 272-5922
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000507
WA
Other
Enumeration date
04/18/2014
Last updated
06/11/2025
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