Tri- City Podiatric Physicians & Surgeons Ltd

NPI #1821129792 in Bandon, Oregon

Provider Information

NPI Number: 1821129792
Entity Type: Organization
Organization Name: Tri- City Podiatric Physicians & Surgeons Ltd
Primary Specialty: Podiatrist
Enumeration Date: Mar 9, 2007
Last Updated: May 15, 2008

Practice Location

Address: 1450 POLARIS LN SW
City: Bandon
State: Oregon
ZIP Code: 97411-8816
Phone: (541) 347-8283

Authorized Official

Name: ANDI DIMAGGIO
Title: OFFICE MANAGER
Phone: (541) 347-8283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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