Organization · Type 2 NPI
Foot and Ankle Med/surg
Foot & Ankle Surgery Podiatrist · Normal, IL
NPI number
1467622571
Active
Practice location
1607 Visa Dr Ste 2A
Normal, IL 61761-6160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Other foot & ankle surgery podiatrist providers in Normal
About NPI 1467622571
Foot and Ankle Med/surg's National Provider Identifier is 1467622571, issued on Mar 4, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Normal, IL. The record was last updated on Mar 4, 2008.