Organization · Type 2 NPI
Summit Podiatry Center PLLC
Foot & Ankle Surgery Podiatrist · Gulfport, MS
NPI number
1407091168
Active
Practice location
15095 Dedeaux Road
Gulfport, MS 39503-3284
Fax (228) 832-6009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1407091168
Summit Podiatry Center PLLC's National Provider Identifier is 1407091168, issued on Dec 10, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Gulfport, MS. The record was last updated on Jan 14, 2014.