NPI Profile for JACKSON PODIATRY INC in YOUNGSTOWN, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot |
213ES0131X | 48 | Podiatry |
| NPI Number | 1306041744 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/16/2007 | |
| Last updated | 12/28/2018 - About 7 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JACKSON PODIATRY, INC
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