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Organization

ANKLE & FOOT CLINIC, PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENICE L NOLAN (OFFICE MANAGER)
(360) 256-1777
Entity
Organization

Contact information

Practice address
416 NE 87TH AVE, STE #2, VANCOUVER, WA 98664-1930
(360) 256-1777
(360) 696-4287
Mailing address
416 NE 87TH AVE, STE #2, VANCOUVER, WA 98664-1930
(360) 256-1777
(360) 696-4287

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000402
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7113566
WA
Enumeration date
10/17/2007
Last updated
01/17/2008
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