Individual provider · Type 1 NPI
Morgan Johonn Kizzar, DPM
Foot & Ankle Surgery Podiatrist · Canon City, CO
NPI number
1912261074
Active
Practice location
604 S 9th St
Canon City, CO 81212-4910
Fax (877) 807-4835
Mailing address
PO Box 576
Canon City, CO 81215-0576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 0000747 (CO) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1912261074
Morgan Johonn Kizzar, DPM's National Provider Identifier is 1912261074, issued on Jul 3, 2012. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Canon City, CO. The record was last updated on Oct 23, 2019.