Organization
PALOUSE FOOT & ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD J CAPAWANA DPM (OWNER)
(509) 334-4498
Entity
Organization
Contact information
Practice address
619 S WASHINGTON ST, 103, MOSCOW, ID 83843-3090
(208) 882-8939
(509) 334-0380
Mailing address
825 SE BISHOP BLVD, 801, PULLMAN, WA 99163-5517
(208) 882-8939
(509) 334-0380
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1298150002
ID
Other
Enumeration date
01/02/2008
Last updated
01/24/2008
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