Individual
DR. WILLIAM JAMES TRONVIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1220 BASICH BLVD, SUITE #C, ABERDEEN, WA 98520-1034
(360) 533-7388
(360) 533-2529
Mailing address
1220 BASICH BLVD, SUITE #C, ABERDEEN, WA 98520-1034
(360) 533-7388
(360) 533-2529
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
252-01:0000320
WA
213ES0131X
Foot Surgery Podiatrist
252-01:0000320
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1078989
—
WA
01
—
480001662
RAILROAD MEDICARE
WA
01
—
91-1181077
FEDERAL TAX ID
WA
01
—
TR8319
REGENCE RIDER NUMBER
WA
Enumeration date
08/01/2006
Last updated
02/24/2009
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