NPI 1780707950 · live from the CMS NPI Registry
Alton Podiatry Clinic, P.C.
Podiatrist, Foot & Ankle Surgery in Alton, IL. National Provider Identifier 1780707950, active.
NPI record
| NPI | 1780707950 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 3535 College Ave, Alton, IL 62002 |
| Practice phone | 618-462-2316 |
| Enumerated | April 10, 2007 |
| Last updated | November 11, 2008 |
| Authorized official | Lawrence Huels, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 016004028 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.