Individual provider · Type 1 NPI
Michangelo Darren Scruggs, DPM
Foot & Ankle Surgery Podiatrist · Washington, DC
NPI number
1104033703
Active
Practice location
1328 Southern Ave SE, Suite 209
Washington, DC 20032-4689
Fax (202) 506-1008
Mailing address
4316 18th St NW
Washington, DC 20011-4228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO1000031 (DC) |
| Podiatrist | 213E00000X | PO1000031 (DC) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1104033703
Michangelo Darren Scruggs, DPM's National Provider Identifier is 1104033703, issued on May 16, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Washington, DC. The record was last updated on May 3, 2010.