Podiatric Physicians and Surgeons P.s.

NPI #1952480899 in Bellevue, Washington

Provider Information

NPI Number: 1952480899
Entity Type: Organization
Organization Name: Podiatric Physicians and Surgeons P.s.
Primary Specialty: Podiatrist
Enumeration Date: Nov 2, 2006
Last Updated: Dec 20, 2007

Practice Location

Address: 11711 NE 12TH ST
Address 2: SUITE 1B
City: Bellevue
State: Washington
ZIP Code: 98005
Phone: (425) 453-1598

Authorized Official

Name: DR. RONALD S KRIVOSHA, DPM
Title: DOCTOR OF PODIATRIC MEDICINE
Phone: (425) 453-1598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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