Organization
FOOT CARE ASSOCIATES PC
Active
Other names
John H Brunsman
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H BRUNSMAN DPM (PODIATRIST)
(360) 794-1266
Entity
Organization
Contact information
Practice address
14692 179TH AVE SE, MONROE, WA 98272
(360) 794-1266
(425) 885-7004
Mailing address
PO BOX 2032, REDMOND, WA 98073-2032
(425) 885-7004
(425) 885-0515
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
246
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480015164
RR MEDICARE
—
Enumeration date
01/14/2008
Last updated
04/14/2011
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