Individual provider · Type 1 NPI
Jesse Aiden Mytinger, DPM
Foot & Ankle Surgery Podiatrist · Vandergrift, PA
NPI number
1821071382
Active
Practice location
127 Columbia Ave
Vandergrift, PA 15690-1101
Fax (724) 568-2169
Mailing address
1601 Union Ave, Suite B
Natrona Heights, PA 15065-2133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC005745 (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
Other foot & ankle surgery podiatrist providers in Vandergrift
About NPI 1821071382
Jesse Aiden Mytinger, DPM's National Provider Identifier is 1821071382, issued on Nov 29, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Vandergrift, PA. The record was last updated on Dec 17, 2012.