Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Podiatric Medicine |
213EP1101X | 48 | Podiatry |
| NPI Number | 1265630438 |
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| LBN Legal business name | DPMNOELPRPA LLC | ||||
| Authorized official | JAMES NOEL - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/10/2007 | ||||
| Last updated | 07/10/2007 - About 19 years ago | ||||
| Identifiers |
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DPMNOELPRPA LLC
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