Organization
METROLIANCE FOOT AND ANKLE GROUP
Active
Other names
Eastside Podiatry Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAESOON PARK DPM (MANAGER/OWNER)
(206) 707-4747
Entity
Organization
Contact information
Practice address
2950 NORTHUP WAY, SUITE #115, BELLEVUE, WA 98004-1406
(425) 893-8100
(425) 893-8111
Mailing address
2950 NORTHUP WAY, SUITE #115, BELLEVUE, WA 98004-1406
(425) 893-8100
(425) 893-8111
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 60234756
WA
Other
Enumeration date
07/01/2014
Last updated
09/28/2015
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