Individual
DR. JAMES G PRESTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
1720 COOKS HILL RD, CENTRALIA, WA 98531-9047
(360) 736-2527
Mailing address
1720 COOKS HILL RD, CENTRALIA, WA 98531-9047
(360) 736-2527
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60001369
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1722PR
REGENCE
WA
01
—
236866
L & I
WA
01
—
4409000001
DMERC
WA
01
—
8514374
DSHS
WA
Enumeration date
01/03/2007
Last updated
11/18/2021
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