Peoria Podiatry Group PC

NPI #1588813133 in Peoria, Illinois

Provider Information

NPI Number: 1588813133
Entity Type: Organization
Organization Name: Peoria Podiatry Group PC
Primary Specialty: Podiatrist - Primary Podiatric Medicine
Enumeration Date: Sep 18, 2008
Last Updated: Jul 24, 2009

Practice Location

Address: 614 SPRING ST
City: Peoria
State: Illinois
ZIP Code: 61603-4133
Phone: (309) 637-2325

Authorized Official

Name: JOHN DANIEL RUFF, DPM
Title: PRESIDENT
Phone: (309) 637-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine	213EP1101X	Primary

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