person
Gordon S Nishimoto, DPM
Foot & Ankle Surgery Podiatrist in Everett, Washington
NPI 1356334460

Gordon S Nishimoto is a Foot & Ankle Surgery Podiatrist based in Mill Creek, WA and is specialized in Foot & Ankle Surgery. Gordon S Nishimoto practices in Everett, WA and has the professional credentials of DPM. The NPI Number for Gordon S Nishimoto is 1356334460 and holds a License No. PO00000725 (Washington).

The current practice location address for Gordon S Nishimoto is 10821 19Th Ave Se Ste 201, Everett, WA and can be reached out via phone at 425-337-7000 and via fax at 425-338-2408.

Location: 10821 19Th Ave Se Ste 201, Everett, WA, 98012-8467
person
Provider Profile Details
NPI Number
1356334460
Provider Name
Gordon S Nishimoto
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
10821 19Th Ave Se Ste 201, Everett, WA, 98012-8467
Phone Number
425-337-7000
Fax Number
425-338-2408
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8484396 05 WA
institution
Provider Business Practice Location Address Details
Address
10821 19Th Ave Se Ste 201
City
State
Zip
98208-5103
Phone Number
425-337-7000
Fax Number
425-338-2408
person
Provider Business Mailing Address Details
Address
10821 19Th Ave Se Ste 201
City
State
Zip
98208-5103
Phone Number
425-337-7000
Fax Number
425-338-2408
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
PO00000725 (Washington)
Definition
Definition to come...
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