Individual provider · Type 1 NPI
Richard Mistretta, DPM
Foot & Ankle Surgery Podiatrist · Duluth, GA
NPI number
1104806157
Active
Practice location
3071 Peachtree Industrial Blvd, Suite # 110
Duluth, GA 30097-7917
Fax (770) 232-9776
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 00742 (GA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
Other foot & ankle surgery podiatrist providers in Duluth
About NPI 1104806157
Richard Mistretta, DPM's National Provider Identifier is 1104806157, issued on Jan 17, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Duluth, GA. The record was last updated on Jan 30, 2020.