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Individual

DR. PETER MICHAEL VINCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
12911 120TH AVE NE STE C50, KIRKLAND, WA 98034-3080
(425) 899-3234
(425) 899-3235
Mailing address
12911 120TH AVE NE STE C50, KIRKLAND, WA 98034-3080
(425) 899-3234
(425) 899-3235

Taxonomy

Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
PO00000750
WA
213ES0131X
Foot Surgery Podiatrist
PO000000750
WA

Other

Enumeration date
01/13/2006
Last updated
07/14/2020
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