METROLIANCE FOOT AND ANKLE GROUP NPI 1740408293

NPI Information

METROLIANCE FOOT AND ANKLE GROUP is an ambulatory surgical clinic center in Bellevue, WA. METROLIANCE FOOT AND ANKLE GROUP NPI is 1740408293. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastside Podiatry Asc.

The provider's business location address is:

2950 NORTHUP WAY
SUITE 115
BELLEVUE, WA
ZIP 98004-406
Phone: (425) 893-8100
Fax: (425) 893-8111

The provider's authorized official is Tae Soon Park .
The authorized official title is Medical Director and has the following contact phone number (425) 893-8100.

The enumeration date for this NPI number is 4/22/2007 and was last updated on 9/28/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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