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Individual

CHAD FARLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
11307 BRIDGEPORT WAY SW, STE 220A, LAKEWOOD, WA 98499-3024
(253) 985-2733
(253) 985-3868
Mailing address
11307 BRIDGEPORT WAY SW, STE 220A, LAKEWOOD, WA 98499-3024
(253) 985-2733
(253) 985-3868

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO00000731
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0219604
L & I
WA
01
203641
L & I
WA
05
8441636
WA
01
8940615
CRIME VICTIMS
WA
01
8944020
CRIME VICTIMS
WA
01
P00345477
RAILROAD
WA
Enumeration date
10/26/2006
Last updated
11/10/2010
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