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Contact Information

MARYSVILLE FOOT AND ANKLE CLINIC
9516 STATE AVE STE D
MARYSVILLE, WA98270-2277
 Phone: 360-653-3354
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARYSVILLE FOOT AND ANKLE CLINIC · (Female)

NPI Number 1316166242
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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