ALTON PODIATRY CLINIC P.C. NPI 1780707950

NPI Information

ALTON PODIATRY CLINIC, P.C. is a foot and ankle surgery podiatrist in Alton, IL. ALTON PODIATRY CLINIC, P.C. NPI is 1780707950. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3535 COLLEGE AVE
ALTON, IL
ZIP 62002-009
Phone: (618) 462-2316
Fax: (618) 462-0954

The provider's authorized official is Lawrence Anthony Huels .
The authorized official title is President and has the following contact phone number (618) 462-2316.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 11/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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