Organization
HARBOR FOOT & ANKLE CLINIC PLLC
Active
Other names
WILLIAM TRONVIG SOLE MBR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J TRONVIG DPM (PODIATRIST)
(360) 533-7388
Entity
Organization
Contact information
Practice address
1220 BASICH BLVD STE C, ABERDEEN, WA 98520-1053
(360) 533-7388
(360) 533-2529
Mailing address
1220 BASICH BLVD STE C, ABERDEEN, WA 98520-1053
(360) 533-7388
(360) 533-2529
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 00000320
WA
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1078989
—
WA
01
—
18653
L&I
WA
Enumeration date
12/16/2009
Last updated
08/25/2010
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