Organization
ACTIVE FOOT AND ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD ROTH D.P.M. (OWNER/MEDICAL DIRECTOR)
(425) 868-8287
Entity
Organization
Contact information
Practice address
1545 NE 65TH ST, SEATTLE, WA 98115-6800
(425) 868-8287
Mailing address
22914 NE 126TH ST, REDMOND, WA 98053-5632
(425) 868-8287
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
145
WA
Other
Enumeration date
11/10/2008
Last updated
11/12/2008
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