Organization
ALPINE FOOT & ANKLE CLINIC, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED J HAWLEY JR. DPM (PRESIDENT/OWNER)
(360) 653-2326
Entity
Organization
Contact information
Practice address
17432 SMOKEY POINT BLVD, SUITE 103, ARLINGTON, WA 98223-6363
(360) 653-2326
(360) 658-8944
Mailing address
17432 SMOKEY POINT BLVD, SUITE 103, ARLINGTON, WA 98223-6363
(360) 653-2326
(360) 658-8944
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO676
WA
332B00000X
Durable Medical Equipment & Medical Supplies
PO676
WA
335E00000X
Prosthetic/Orthotic Supplier
PO676
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7111271
—
WA
Enumeration date
01/11/2008
Last updated
03/07/2008
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