Organization
KNEEFOOTANKLECENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A ROLFE M.D. (MANAGER)
(425) 899-6060
Entity
Organization
Contact information
Practice address
12303 NE 130TH LN, SUITE 220, KIRKLAND, WA 98034-3060
(425) 899-6060
(425) 899-6078
Mailing address
12303 NE 130TH LN, SUITE 220, KIRKLAND, WA 98034-3060
(425) 899-6060
(425) 899-6078
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00029212
WA
207X00000X
Orthopaedic Surgery Physician
MD00047525
WA
208100000X
Physical Medicine & Rehabilitation Physician
MD00041579
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF9944
RAILROAD MEDICARE
WA
Enumeration date
07/05/2007
Last updated
04/30/2008
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