Organization
STUART CARDON
Active
Other names
Cascade Foot and Ankle PLLC, Creekside Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE MARQUEZ (BILLING AND CREDENTIALING)
(509) 225-3668
Entity
Organization
Contact information
Practice address
2400 RACQUET LN, YAKIMA, WA 98902-6109
(509) 225-3668
(509) 225-3448
Mailing address
2400 RACQUET LN, YAKIMA, WA 98902-6109
(509) 225-3668
(509) 225-3448
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PO00000565
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7142219
—
WA
Enumeration date
01/10/2007
Last updated
05/04/2020
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