Organization · Type 2 NPI

Southwest Podiatry, LLC

Foot Surgery Podiatrist · Lanham, MD

NPI number 1457567638 Active

Practice location

7425 Forbes Blvd, Suite 105
Lanham, MD 20706-2220

Fax (301) 352-7725

Mailing address

14300 Gallant Fox Ln Ste 201
Bowie, MD 20715-4033

Specialties and licenses

TaxonomyCodeLicense
Foot Surgery Podiatrist Primary 213ES0131XNone listed

Foot Surgery Podiatrist: Definition to come...

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About NPI 1457567638

Southwest Podiatry, LLC's National Provider Identifier is 1457567638, issued on May 15, 2007. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Lanham, MD. The record was last updated on Mar 22, 2019.