Organization
CENTRAL WASHINGTON PODIATRY SERVICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN F ORMINSKI (CHIEF FINANCIAL OFFICER)
(509) 248-4900
Entity
Organization
Contact information
Practice address
307 S 12TH AVE, SUITE #9, YAKIMA, WA 98902-3100
(509) 248-4900
(509) 248-0609
Mailing address
307 S 12TH AVE, SUITE #9, YAKIMA, WA 98902-3100
(509) 248-4900
(509) 248-0609
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI6495
RAILROAD MEDICARE
WA
Enumeration date
10/05/2007
Last updated
02/27/2008
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