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Garrett Parker Peresko
Foot & Ankle Surgery Podiatrist in Morton, Washington
NPI 1437648011

Garrett Parker Peresko is a Foot & Ankle Surgery Podiatrist based in Morton, WA and is specialized in Foot & Ankle Surgery. Garrett Parker Peresko practices in Morton, WA. The NPI Number for Garrett Parker Peresko is 1437648011 and holds a License No. (Washington).

The current practice location address for Garrett Parker Peresko is 531 Adams Ave, Morton, WA and can be reached out via phone at 360-496-5145.

Location: 531 Adams Ave, Morton, WA, 98356-0019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437648011
Provider Name
Garrett Parker Peresko
Credential
Provider Entity Type
Individual
Gender
Male
Address
531 Adams Ave, Morton, WA, 98356-0019
Phone Number
360-496-5145
Fax Number
Provider Enumeration Date
05/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
531 Adams Ave
City
Morton
State
Washington
Zip
98356-9323
Phone Number
360-496-5145
Fax Number
person
Provider Business Mailing Address Details
Address
531 Adams Ave
City
Morton
State
Washington
Zip
98356-9323
Phone Number
360-496-5145
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
PO61185768 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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