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Organization
RALEIGH ST PODIATRY INC.
Active
Organization
RALEIGH ST PODIATRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS ACREE DPM (PRESIDENT)
(304) 264-9525
Entity
Organization
Contact information
Practice address
411 S RALEIGH ST, MARTINSBURG, WV 25401-2640
(304) 264-9525
(304) 264-9524
Mailing address
411 S RALEIGH ST, MARTINSBURG, WV 25401-2640
(304) 264-9525
(304) 264-9524
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
00317
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710711
BCBS
WV
Enumeration date
02/01/2007
Last updated
05/05/2008
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