Organization
BELLEVUE PODIATRIC PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE M WILSON DPM (PHYSICAN/OWNER)
(425) 283-5093
Entity
Organization
Contact information
Practice address
1609 116TH AVE NE, BELLEVUE, WA 98004
(425) 283-5093
(425) 283-5095
Mailing address
1609 116TH AVE NE, BELLEVUE, WA 98004
(425) 283-5093
(425) 283-5095
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7122096
—
WA
Enumeration date
09/07/2006
Last updated
02/27/2019
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