METROLIANCE FOOT AND ANKLE GROUP NPI 1750796579

NPI Information

METROLIANCE FOOT AND ANKLE GROUP is a foot and ankle surgery podiatrist in Bellevue, WA. METROLIANCE FOOT AND ANKLE GROUP NPI is 1750796579. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eastside Podiatry Clinic.

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 Taesoon Park .
The authorized official title is Manager/owner and has the following contact phone number (206) 707-4747.

The enumeration date for this NPI number is 7/1/2014 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:

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