Individual provider · Type 1 NPI
Leon C. Sidorek, D.P.M.
Foot & Ankle Surgery Podiatrist · Tunkhannock, PA
NPI number
1336145085
Active
Practice location
12 Grace Dr, Suite 2
Tunkhannock, PA 18657-9120
Fax (570) 836-5710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC-002903-L (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1336145085
Leon C. Sidorek, D.P.M.'s National Provider Identifier is 1336145085, issued on Jun 27, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Tunkhannock, PA. The record was last updated on Nov 19, 2009.