Individual provider · Type 1 NPI

Rudolf W. Cisco, DPM

Foot & Ankle Surgery Podiatrist · Gainesville, GA

NPI number 1043236706 Active

Practice location

1224 Sherwood Park Dr NE
Gainesville, GA 30501-3445

Call (770) 287-0606 Map

Fax (770) 287-0159

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X000596 (GA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1043236706

Rudolf W. Cisco, DPM's National Provider Identifier is 1043236706, issued on Jul 15, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Gainesville, GA. The record was last updated on Jan 5, 2011.