Individual
DR. RONALD S. KRIVOSHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1101 MADISON STREET, SUITE 1120, SEATTLE, WA 98104-2461
(206) 447-0302
(206) 682-5951
Mailing address
1101 MADISON ST, SUITE 1120, SEATTLE, WA 98104-1306
(206) 447-0302
(206) 682-5951
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000177
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059835
LABOR AND INDUSTRIES
WA
05
—
1010701
—
WA
Enumeration date
10/23/2006
Last updated
05/02/2008
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