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Organization

A HOME OF HAPPY FEET PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD J DOUGLAS D.P.M. (PRESIDENT)
(509) 838-2929
Entity
Organization

Contact information

Practice address
225 E 3RD AVE, SUITE # 5, SPOKANE, WA 99202-1422
(509) 838-2929
(509) 838-2920
Mailing address
225 E 3RD AVE, SUITE # 5, SPOKANE, WA 99202-1422
(509) 838-2929
(509) 838-2920

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
312
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7141096
WA
01
8869612
INDIVIDUAL PTAN NUMBER
WA
Enumeration date
11/16/2007
Last updated
03/28/2012
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