Organization
MICHAEL PHILIP PODRASKY
Active
Organization
MICHAEL PHILIP PODRASKY
Active
Other names
Valley Orthopedic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PHILIP PODRASKY CPO (OWNER)
(253) 848-2888
Entity
Organization
Contact information
Practice address
1004 E MAIN, STE C, PUYALLUP, WA 98372-3125
(253) 848-2888
(253) 848-3840
Mailing address
1004 E MAIN, STE C, PUYALLUP, WA 98372-3125
(253) 848-2888
(253) 848-3840
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9018763
—
WA
Enumeration date
11/27/2007
Last updated
06/26/2012
Update your record
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