institution
Boone Podiatry Pa
Foot Surgery Podiatrist in Boone, North Carolina
NPI 1326042979

Boone Podiatry Pa is a Foot Surgery Podiatrist based in Boone, NC and is specialized in Foot Surgery. Boone Podiatry Pa practices in Boone, NC. The NPI Number for Boone Podiatry Pa is 1326042979 and holds a License No. 354 (North Carolina).

The current practice location address for Boone Podiatry Pa is 610 State Farm Rd, Boone, NC and can be reached out via phone at 828-265-3668.

Location: 610 State Farm Rd, Boone, NC, 28607-4738
institution
Provider Profile Details
NPI Number
1326042979
Provider Name
Boone Podiatry Pa
Credential
Provider Entity Type
Organization
Address
610 State Farm Rd, Boone, NC, 28607-4738
Phone Number
828-265-3668
Fax Number
Provider Enumeration Date
06/10/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0819K 01 NC BCBS
890819K 05 NC
institution
Provider Business Practice Location Address Details
Address
610 State Farm Rd
City
State
Zip
28607-4738
Phone Number
828-265-3668
Fax Number
person
Provider Business Mailing Address Details
Address
610 State Farm Rd
City
State
Zip
28607-4738
Phone Number
828-265-3668
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
354 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
354 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
354 (North Carolina)
Definition
Definition to come...
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