Organization
RAMONA L. CALIVA DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMONA L CALIVA DPM (OWNER/PODIATRIST)
(360) 373-1772
Entity
Organization
Contact information
Practice address
1211 IVY RD, STE 100, BREMERTON, WA 98310-3511
(360) 373-1772
(360) 377-7151
Mailing address
1211 IVY RD, STE 100, BREMERTON, WA 98310-3511
(360) 373-1772
(360) 377-7151
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P 392
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006950
L&I
—
05
—
1023910
—
WA
01
—
480006194
MEDICARE RAILROAD
—
01
—
CA0650
REGENCE RIDER
—
Enumeration date
06/22/2006
Last updated
01/22/2014
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