Sandy River Podiatry, PA

NPI #1336367416 in Farmington, Maine

Provider Information

NPI Number: 1336367416
Entity Type: Organization
Organization Name: Sandy River Podiatry, PA
Primary Specialty: Podiatrist
Enumeration Date: Apr 23, 2007
Last Updated: Sep 16, 2009

Practice Location

Address: 114 PERHAM ST
City: Farmington
State: Maine
ZIP Code: 04938-1520
Phone: (207) 779-1002

Authorized Official

Name: DR. JEFFREY JOHNSON, DPM
Title: OWNER
Phone: (207) 779-1002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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