Organization
GREGORY R JESPERSEN & CATHY L THOSATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY JESPERSEN D.P.M. (OWNER)
(425) 788-1484
Entity
Organization
Contact information
Practice address
19309 218TH PL NE, WOODINVILLE, WA 98077-7112
(425) 788-1484
(425) 788-2024
Mailing address
19309 218TH PL NE, WOODINVILLE, WA 98077-7112
(425) 788-1484
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7083165
—
WA
Enumeration date
05/20/2007
Last updated
02/27/2015
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