Organization
PODIATRIC PHYSICIANS AND SURGEONS P.S.
Active
Other names
dr. ronald krivosha
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD S KRIVOSHA DPM (DOCTOR OF PODIATRIC MEDICINE)
(425) 453-1598
Entity
Organization
Contact information
Practice address
11711 NE 12TH ST, SUITE 1B, BELLEVUE, WA 98005
(425) 453-1598
(425) 450-0029
Mailing address
11711 NE 12TH ST, SUITE 1B, BELLEVUE, WA 98005-2461
(425) 453-1498
(425) 450-0029
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P0OOO177
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059835
LABOR AND INDURSTRY
WA
05
—
1010701
—
WA
05
—
1477405
—
WA
Enumeration date
11/02/2006
Last updated
12/20/2007
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