Mark D Nellermoe Professional Service Corporation

NPI #1194145094 in University Place, Washington

Provider Information

NPI Number: 1194145094
Entity Type: Organization
Organization Name: Mark D Nellermoe Professional Service Corporation
Primary Specialty: Podiatrist
Enumeration Date: Apr 18, 2014
Last Updated: Jun 11, 2025

Practice Location

Address: 3929 BRIDGEPORT WAY W STE 308
City: University Place
State: Washington
ZIP Code: 98466-4455
Phone: (253) 627-4181

Authorized Official

Name: DR. MARK D NELLERMOE, DPM
Title: OWNER
Phone: (253) 627-4181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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