Individual
VIRGIL GENE LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD-DPM
Contact information
Practice address
12411 NE 70TH CIR, VANCOUVER, WA 98682-4885
(602) 615-9915
Mailing address
12411 NE 70TH CIR STE 106, VANCOUVER, WA 98682-4885
(602) 615-9915
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO00000166
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000166
WA
Other
Enumeration date
06/29/2022
Last updated
12/13/2023
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