Provider Demographics
NPI:1154913879
Name:GIG HARBOR FOOT & ANKLE CLINIC, LLC
Entity type:Organization
Organization Name:GIG HARBOR FOOT & ANKLE CLINIC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:253-858-8100
Mailing Address - Street 1:3309 56TH ST STE 108
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-8580
Mailing Address - Country:US
Mailing Address - Phone:253-858-8100
Mailing Address - Fax:253-858-6017
Practice Address - Street 1:3309 56TH ST STE 108
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-8580
Practice Address - Country:US
Practice Address - Phone:125-385-8810
Practice Address - Fax:253-858-6017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-04
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatricGroup - Single Specialty