Active Northwest Podiatry

NPI #1295156990 in Arlington, Washington

Provider Information

NPI Number
1295156990
Entity Type
Organization
Organization Name
Active Northwest Podiatry
Primary Specialty
Clinic/Center - Podiatric
Enumeration Date
Dec 23, 2013
Last Updated
Dec 23, 2013

Practice Location

Address
103 E 3RD ST
ZIP Code
98223-1348
Phone
(360) 403-0333

Authorized Official

Name
DR. JAY R COCHEBA, DPM
Title
PODIATRIST
Phone
(360) 403-0333

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PodiatricPodiatric

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