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Individual

ZACHARY TYLER LAIDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
7320 216TH ST SW STE 320B, EDMONDS, WA 98026-8006
(425) 775-6996
(425) 670-8905
Mailing address
7320 216TH ST SW STE 320, EDMONDS, WA 98026-8006
(425) 775-6996
(425) 670-8905

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO61309234
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO61309234
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2159301
WA
01
452640
WA LABOR & INDUSTRIES
WA
Enumeration date
05/03/2018
Last updated
07/13/2022
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