Organization
FAMILY FOOT CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD G SMITH DPM (OWNER)
(253) 845-0564
Entity
Organization
Contact information
Practice address
120 14TH AVE SE, SUITE B, PUYALLUP, WA 98372-3718
(253) 845-0564
(253) 770-8482
Mailing address
120 14TH AVE SE, SUITE B, PUYALLUP, WA 98372-3718
(253) 845-0564
(253) 770-8482
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
PO 60188334
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427077114
INDIVIDUAL NPI NUMBER
—
Enumeration date
01/11/2011
Last updated
01/26/2011
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