Organization · Type 2 NPI
Bangor Podiatry LLC
Foot & Ankle Surgery Podiatrist · Gilbert, PA
NPI number
1972996189
Active
Practice location
1310 Route 209 Ste 107
Gilbert, PA 18331-7751
Fax (570) 992-5806
Mailing address
129 N 11th St
Bangor, PA 18013-1603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC004468L (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1972996189
Bangor Podiatry LLC's National Provider Identifier is 1972996189, issued on Mar 12, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Gilbert, PA. The record was last updated on Nov 15, 2024.