Individual provider · Type 1 NPI
Alan Ettinger, DPM PA
Primary Podiatric Medicine Podiatrist · Fort Worth, TX
NPI number
1295762771
Active
Practice location
1001 12th St Ste 104
Fort Worth, TX 76104-3928
Fax (817) 738-6990
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 0469 (TX) |
Primary Podiatric Medicine Podiatrist: Definition to come...
Other primary podiatric medicine podiatrist providers in Fort Worth
About NPI 1295762771
Alan Ettinger, DPM PA's National Provider Identifier is 1295762771, issued on Jun 28, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 15, 2009.