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Organization

SPOKANE PODIATRY PS

Active
Other names
Medical Foot Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEWART PUGMIRE BRIM DPM (OWNER)
(509) 928-1990
Entity
Organization

Contact information

Practice address
12109 E BROADWAY AVE STE C, SPOKANE VALLEY, WA 99206-6133
(509) 928-1990
(509) 928-2933
Mailing address
12109 E BROADWAY AVE STE C, SPOKANE VALLEY, WA 99206-6133
(509) 928-1990
(509) 928-2933

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
601652962
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9046152
WA
Enumeration date
03/23/2007
Last updated
12/28/2023
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