Provider Demographics
NPI:1821780826
Name:TRICITIES PODIATRY PLLC
Entity Type:Organization
Organization Name:TRICITIES PODIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COLIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCKAY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:480-236-6084
Mailing Address - Street 1:5408 W AGATE ST
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-5527
Mailing Address - Country:US
Mailing Address - Phone:480-236-6084
Mailing Address - Fax:
Practice Address - Street 1:660 SWIFT BLVD STE D
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3560
Practice Address - Country:US
Practice Address - Phone:480-236-6084
Practice Address - Fax:480-236-6084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty