Individual
JEROD STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3525 ENSIGN RD NE STE N, OLYMPIA, WA 98506-5065
(360) 943-9600
(360) 943-9694
Mailing address
3525 ENSIGN RD NE STE N, OLYMPIA, WA 98506-5065
(360) 943-9600
(360) 943-9694
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO60750804
WA
Other
Enumeration date
07/18/2014
Last updated
01/03/2024
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