Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1417109489 |
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| LBN Legal business name | GREAT TEAYS PODIATRY | ||||
| Authorized official | SETH STINEHOUR - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/21/2008 | ||||
| Last updated | 10/21/2008 - About 18 years ago | ||||
| Identifiers |
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GREAT TEAYS PODIATRY
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| RUSSELL EVANS 1692 ACCOVILLE HOLLOW ROAD ACCOVILLE, WV |
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GREAT TEAYS PODIATRY