Organization
CENTRAL WASHINGTON PODIATRY SERVICE PLLC
Active
Parent organization
CENTRAL WASHINGTON PODIATRY SERVICE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL WASHINGTON PODIATRY SERVICE PLLC
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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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