Organization
WEST CAMPUS FOOT & ANKLE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J. FRAZIER DPM (PHYSICIAN)
(253) 838-8377
Entity
Organization
Contact information
Practice address
33801 1ST WAY S, SUITE 105, FEDERAL WAY, WA 98003-4546
(253) 838-8377
(253) 838-9474
Mailing address
33801 1ST WAY S, SUITE 105, FEDERAL WAY, WA 98003-4546
(253) 838-8377
(253) 838-9474
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000669
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881686731
INDIVIDUAL NPI
WA
Enumeration date
11/19/2014
Last updated
03/10/2015
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