Andrew Grant Puckett in Allentown - Foot & Ankle Surgery
Andrew Grant Puckett - NPI 1174523856
Andrew Grant Puckett is a Foot & Ankle Surgery in Allentown, Pennsylvania. Andrew Grant Puckett practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Andrew Grant Puckett is 1174523856. The last update date is 2007-07-08.
Andrew Grant Puckett's current location address is 827 W Wyoming St, Allentown, Pennsylvania. You can contact this provider via phone number 6104326221. The mailing address for Andrew Grant Puckett is 827 W Wyoming St, Allentown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Grant Puckett |
|---|---|
| Address | 827 W Wyoming St, Allentown, Pennsylvania |
| Phone Number | 6104326221 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1174523856 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 827 W Wyoming St |
|---|---|
| City | Allentown |
| State | Pennsylvania (PA) |
| Post Code | 181033961 |
| Phone Number | 6104326221 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | SC005521 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18704060001 | PA | -- |
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What is the unique 10-digit identifier code assigned to Andrew Grant Puckett by the Centers for Medicare & Medicaid Services?
The Andrew Grant Puckett has been issued the NPI (National Provider Identifier) 1174523856 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Andrew Grant Puckett's physical address?
The Andrew Grant Puckett is physically located at 827 W Wyoming St, in the city of Allentown, PA, with the postal code 181033961.
What is Andrew Grant Puckett's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Andrew Grant Puckett is Foot & Ankle Surgery, and the taxonomy code that classifies this field of practice is 213Es0103X.
On what date did the Andrew Grant Puckett receive its 1174523856 assignment from the Centers for Medicare & Medicaid Services?
The Andrew Grant Puckett was assigned its 1174523856 by the Centers for Medicare & Medicaid Services on 2005-07-26.
As of what date were the Andrew Grant Puckett's details last updated?
The information pertaining to the Andrew Grant Puckett, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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