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

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPO1000031 (DC)
Podiatrist 213E00000XPO1000031 (DC)

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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.