NPIRadar

Justin Waller, DPM Valid NPI

Individual provider · Foot & Ankle Surgery Podiatrist · Hickory, NC

NPI
1760122006
Type
Individual (Type 1)
Primary specialty
Foot & Ankle Surgery Podiatrist (Podiatrist)
Specialty group
Podiatric Medicine & Surgery Service Providers
Taxonomy code
213ES0103X
License number
852 (NC)
Sex
Male
Sole proprietor
No
Enumerated
2022-04-01
Last updated
2025-05-22
Practice location
1501 Tate Blvd Se
Hickory, NC 28602-1384
(828) 304-0400

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