Organization · Type 2 NPI

Penndoc Foot & Ankle Center, LLC

Foot & Ankle Surgery Podiatrist · Bradford, PA

NPI number 1407040025 Active

Practice location

133 Mill St
Bradford, PA 16701-1408

Fax (814) 362-0540

Mailing address

PO Box 40
Bradford, PA 16701-0040

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XSC003540L (PA)

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

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About NPI 1407040025

Penndoc Foot & Ankle Center, LLC's National Provider Identifier is 1407040025, issued on Aug 28, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bradford, PA. The record was last updated on Dec 22, 2020.