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

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X00742 (GA)

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

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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.