Individual
SCOTT CARLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
433 SW 41ST ST, RENTON, WA 98057-4926
(425) 226-5656
Mailing address
433 SW 41ST ST, RENTON, WA 98057-4926
(425) 226-5656
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
P89605
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60666690
WA
Other
Enumeration date
01/09/2014
Last updated
04/24/2017
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