| Organization Name: | ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS |
| NPI Number: | 1164720462 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES R CHU (OWNER) |
| Mailing Address: | 2820 Griffin Ave Suite 101 Enumclaw |
| State: | WA US |
| Postal Code: | 980222373 |
| Phone Number: | 3608252181 |
| Fax Number: | 3608258354 |
| NPI Enumeration Date: | 03/10/2011 |
| NPI Last Update Date: | 07/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |