Organization
NORTHWEST FOOT AND ANKLE PHYSICIANS AND SURGEONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON SUICHI NISHIMOTO DPM (PRESIDENT)
(425) 337-7000
Entity
Organization
Contact information
Practice address
10821 19TH AVE SE, EVERETT, WA 98208-5103
(425) 337-7000
(425) 338-2408
Mailing address
10821 19TH AVE SE, EVERETT, WA 98208-5103
(425) 337-7000
(425) 338-2408
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P0725
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7138191
—
WA
Enumeration date
10/06/2006
Last updated
05/21/2015
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