Dpmleonheartprwa Llc in Puyallup - Foot & Ankle Surgery

Dpmleonheartprwa Llc - NPI 1326229485

Dpmleonheartprwa Llc is a Foot & Ankle Surgery in Puyallup, Washington. Dpmleonheartprwa Llc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Dpmleonheartprwa Llc is 1326229485. The last update date is 2008-10-10.

Dpmleonheartprwa Llc's current location address is 11201 88th Ave E, Puyallup, Washington. You can contact this provider via phone number 2538413668 and fax number 2538410878. The mailing address for Dpmleonheartprwa Llc is 11201 88th Ave E, Puyallup, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dpmleonheartprwa Llc
Address 11201 88th Ave E, Puyallup, Washington
Phone Number 2538413668
Fax Number 2538410878
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Leonheart Edward Eric
Telephone Number 2538413668

NPI Number Detail

NPI Number 1326229485
Provider Enumeration Date 2007-11-16
Last Updated Date 2008-10-10

Provider Mailing Address Detail

Address 11201 88th Ave E
City Puyallup
State Washington (WA)
Post Code 983733802
Phone Number 2538413668
Fax Number 2538410878

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No PO00000778
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1121714 WA --

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FAQs about Dpmleonheartprwa Llc

What is the Dpmleonheartprwa Llc's 1326229485?

The Dpmleonheartprwa Llc's NPI (National Provider Identifier) Number is 1326229485. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Dpmleonheartprwa Llc is physically located?

The Dpmleonheartprwa Llc is physically situated at the following address: 11201 88Th Ave E, Puyallup, WA, 983733802.

What is Dpmleonheartprwa Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Dpmleonheartprwa Llc is Foot & Ankle Surgery, and the corresponding taxonomy classification code for this specialized field is 213Es0103X.

On what date did the Dpmleonheartprwa Llc receive its 1326229485 assignment from the Centers for Medicare & Medicaid Services?

The Dpmleonheartprwa Llc was assigned its 1326229485 by the Centers for Medicare & Medicaid Services on 2007-11-16.

As of what date was the information regarding Dpmleonheartprwa Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Dpmleonheartprwa Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-10-10.

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