person
John Richard Iredale, DPM
Foot & Ankle Surgery Podiatrist in Durham, North Carolina
NPI 1477549160

John Richard Iredale is a Foot & Ankle Surgery Podiatrist based in Durham, NC and is specialized in Foot & Ankle Surgery. John Richard Iredale practices in Durham, NC and has the professional credentials of DPM. The NPI Number for John Richard Iredale is 1477549160 and holds a License No. 51 (North Carolina).

The current practice location address for John Richard Iredale is 4119 Capitol St, Durham, NC and can be reached out via phone at 919-477-0333 and via fax at 919-477-9389.

Location: 4119 Capitol St, Durham, NC, 27704-2153
person
Provider Profile Details
NPI Number
1477549160
Provider Name
John Richard Iredale
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4119 Capitol St, Durham, NC, 27704-2153
Phone Number
919-477-0333
Fax Number
919-477-9389
Provider Enumeration Date
09/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08092 01 NC BCBS OF NC PROVIDER NUMBE
8908092 05 NC
institution
Provider Business Practice Location Address Details
Address
4119 Capitol St
City
State
Zip
27704-2153
Phone Number
919-477-0333
Fax Number
919-477-9389
person
Provider Business Mailing Address Details
Address
4119 Capitol St
City
State
Zip
27704-2153
Phone Number
919-477-0333
Fax Number
919-477-9389
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
51 (North Carolina)
Definition
Definition to come...
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