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

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist Primary 213EP1101X0469 (TX)

Primary Podiatric Medicine Podiatrist: Definition to come...

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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.