Glenwood Avenue Foot And Ankle Pllc Valid NPI

Organization · Primary Podiatric Medicine Podiatrist · Raleigh, NC

NPI

1720252026

Type

Organization (Type 2)

Primary specialty

Primary Podiatric Medicine Podiatrist (Podiatrist)

Specialty group

Podiatric Medicine & Surgery Service Providers

Taxonomy code

213EP1101X

License number

154 (NC)

Enumerated

2008-04-17

Last updated

2016-11-04