Long Trail Podiatry Pllc
NPI #1902025638 in White River Junction, Vermont
Provider Information
- NPI Number
- 1902025638
- Entity Type
- Organization
- Organization Name
- Long Trail Podiatry Pllc
- Primary Specialty
- Clinic/Center - Podiatric
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Jun 10, 2010
Practice Location
- Address
- 2456 CHRISTIAN ST
- Address 2
- SUITE L2
- State
- Vermont
- ZIP Code
- 05001-9856
- Phone
- (802) 359-4335
Authorized Official
- Name
- JEFFREY R KING, DPM
- Title
- CO-OWNER
- Phone
- (802) 359-4335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Podiatric — Podiatric |
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