Organization
ANKLE & FOOT SPECIALIST OF PUGET SOUND, PS
Active
Parent organization
ANKLE & FOOT SPECIALIST OF PUGET SOUND, PS
Other names
Ankle & Foot Specialist of Bonney Lake
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANKLE & FOOT SPECIALIST OF PUGET SOUND, PS
Authorized official
CHARLES R CHU DPM (PHYSICIAN/OWNER)
(425) 449-2471
Entity
Organization
Contact information
Practice address
10004 204TH AVE E STE 2700, BONNEY LAKE, WA 98391-6535
(253) 848-6656
Mailing address
2728 E MAIN AVE STE A, PUYALLUP, WA 98372-3198
(253) 841-2006
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000277
WA
Other
Enumeration date
07/26/2011
Last updated
03/26/2012
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