| Gregory R Jespersen & Cathy L Thosath | |
|
19309 218th Pl Ne, Woodinville, WA 98077-7112 | |
| (425) 788-1484 | |
| (425) 788-2024 |
| Full Name | Gregory R Jespersen & Cathy L Thosath |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 19309 218th Pl Ne, Woodinville, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720296882 | NPI | - | NPPES |
| 7083165 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Gregory R Jespersen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669551008 PECOS PAC ID: 6608035605 Enrollment ID: I20120312000296 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory R Jespersen & Cathy L Thosath 19309 218th Pl Ne, Woodinville, WA 98077-7112 Ph: (425) 788-1484 | Gregory R Jespersen & Cathy L Thosath 19309 218th Pl Ne, Woodinville, WA 98077-7112 Ph: (425) 788-1484 |
Cathy L Thosath, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 19309 218th Pl Ne, Woodinville, WA 98077 Phone: 425-788-1484 Fax: 425-788-2024 | |
Dr. Roderick Alan Moore, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 17000 140th Ave Ne, Unit 201, Woodinville, WA 98072 Phone: 425-481-7055 | |
Gregory R Jespersen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 19309 218th Pl Ne, Woodinville, WA 98077 Phone: 425-788-1484 Fax: 425-788-2024 |