Portable Podiatry Pllc

NPI #1851744023 in Harbor Beach, Michigan

Provider Information

NPI Number: 1851744023
Entity Type: Organization
Organization Name: Portable Podiatry Pllc
Primary Specialty: Podiatrist
Enumeration Date: Jul 22, 2016
Last Updated: Jul 22, 2016

Practice Location

Address: 219 STATE ST
City: Harbor Beach
State: Michigan
ZIP Code: 48441-1206
Phone: (810) 618-4203

Authorized Official

Name: DR. SIMON MCCOY, DPM
Title: OWNER
Phone: (810) 618-4203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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