DR. Bruce G Fawcett, DPM

NPI #1336238336 in Raleigh, North Carolina

Provider Information

NPI Number: 1336238336
Entity Type: Individual
Name: DR. Bruce G Fawcett, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Oct 11, 2006
Last Updated: Apr 4, 2016

Practice Location

Address: 1514 GLENWOOD AVE
City: Raleigh
State: North Carolina
ZIP Code: 27608-2368
Phone: (919) 829-0076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary
Podiatrist - Public Medicine — Public Medicine	213EP0504X
Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine	213EP1101X
Podiatrist - Radiology — Radiology	213ER0200X
Podiatrist - Sports Medicine — Sports Medicine	213ES0000X
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X

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