Organization · Type 2 NPI
Great Teays Podiatry
Foot & Ankle Surgery Podiatrist · Hurricane, WV
NPI number
1417109489
Active
Practice location
3701 Teays Valley Road, Suite A
Hurricane, WV 25526-9645
Fax (304) 201-1241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 10383 (WV) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1417109489
Great Teays Podiatry's National Provider Identifier is 1417109489, issued on Oct 21, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Hurricane, WV. The record was last updated on Oct 21, 2008.