Organization Name: | THOMPSON FOOT AND ANKLE CLINIC INC |
NPI Number: | 1043629652 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERENCE ANTHON THOMPSON (PODIATRIST) |
Mailing Address: | 2317 Sw 320th St 700 Federal Way |
State: | WA US |
Postal Code: | 980232567 |
Phone Number: | 2538385010 |
Fax Number: | 2538385280 |
NPI Enumeration Date: | 08/07/2014 |
NPI Last Update Date: | 08/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP1100X |
License Number: | 0000238 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Podiatric |
Taxonomy Definition: |