Unknown Individual – Primary Podiatric Medicine Podiatrist, NPI 1205846755
Primary Podiatric Medicine Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
South Tacoma Way & 100th Street Southwest, South Tacoma Way, Lakewood, Pierce County, Washington, 98409, United States
STE 11
TACOMA, WA 984992751
Phone: (253) 584-7240
Fax: (253) 582-0586
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98499)
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