Organization · Type 2 NPI
Portonova Foot and Ankle Specialists LLC
Foot & Ankle Surgery Podiatrist · Bloomsburg, PA
NPI number
1750762043
Active
Practice location
6850 Lows Rd Ste 316
Bloomsburg, PA 17815-8708
Fax (570) 387-2203
Mailing address
PO Box 1935
Kingston, PA 18704-0935
Other practice locations
- 642 Brookhill Square, Route 93 Ste 36-1, Conyngham, PA 18219-0860 · (570) 359-2024
- 87 Oxford St, Hanover Township, PA 18706-3350 · (570) 829-3668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC006404 (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
About NPI 1750762043
Portonova Foot and Ankle Specialists LLC's National Provider Identifier is 1750762043, issued on Jun 12, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bloomsburg, PA. The record was last updated on Sep 17, 2021.