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Dpmleonheartprwa Llc
Foot & Ankle Surgery Podiatrist in Puyallup, Washington
NPI 1326229485

Dpmleonheartprwa Llc is a Foot & Ankle Surgery Podiatrist based in Puyallup, WA and is specialized in Foot & Ankle Surgery. Dpmleonheartprwa Llc practices in Puyallup, WA. The NPI Number for Dpmleonheartprwa Llc is 1326229485 and holds a License No. PO00000778 (Washington).

The current practice location address for Dpmleonheartprwa Llc is 10116 116Th St E, Puyallup, WA and can be reached out via phone at 253-841-3668.

Location: 10116 116Th St E, Puyallup, WA, 98373-3802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326229485
Provider Name
Dpmleonheartprwa Llc
Credential
Provider Entity Type
Organization
Address
10116 116Th St E, Puyallup, WA, 98373-3802
Phone Number
253-841-3668
Fax Number
Provider Enumeration Date
11/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1121714 05 WA
institution
Provider Business Practice Location Address Details
Address
10116 116Th St E
City
Puyallup
State
Washington
Zip
98373-3543
Phone Number
253-841-3668
Fax Number
person
Provider Business Mailing Address Details
Address
10116 116Th St E
City
Puyallup
State
Washington
Zip
98373-3543
Phone Number
253-841-3668
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
PO00000778 (Washington)
Definition
Definition to come...
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