Organization
PALOUSE FOOT & ANKLE CLINIC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY J CAPAWANA DPM (OWNER)
(509) 334-4498
Entity
Organization
Contact information
Practice address
825 SE BISHOP BLVD, 801, PULLMAN, WA 99163-5538
(509) 334-4498
(509) 334-0380
Mailing address
825 SE BISHOP BLVD, 801, PULLMAN, WA 99163-5538
(509) 334-4498
(509) 334-0380
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
129815001
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1108034
—
WA
Enumeration date
12/18/2007
Last updated
02/16/2017
Update your record
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