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Jack Route, DPM
Foot & Ankle Surgery Podiatrist in Williamsville, New York
NPI 1326400664

Jack Route is a Foot & Ankle Surgery Podiatrist based in Williamsville, NY and is specialized in Foot & Ankle Surgery. Jack Route practices in Williamsville, NY and has the professional credentials of DPM. The NPI Number for Jack Route is 1326400664 and holds a License No. (New York).

The current practice location address for Jack Route is 6325 Main St Ste 200, Williamsville, NY and can be reached out via phone at 716-630-1295 and via fax at 716-250-5999.

Location: 6325 Main St Ste 200, Williamsville, NY, 14221-8235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326400664
Provider Name
Jack Route
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
6325 Main St Ste 200, Williamsville, NY, 14221-8235
Phone Number
716-630-1295
Fax Number
716-250-5999
Provider Enumeration Date
03/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6325 Main St Ste 200
City
Williamsville
State
New York
Zip
14221-5617
Phone Number
716-630-1295
Fax Number
716-250-5999
person
Provider Business Mailing Address Details
Address
6325 Main St Ste 200
City
Williamsville
State
New York
Zip
14221-5617
Phone Number
716-630-1295
Fax Number
716-250-5999
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
007175 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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