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Organization
PODIATRY CARE PLUS LLC
Active
Organization
PODIATRY CARE PLUS LLC
Active
Other names
PODIATRY CARE PLUS
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS KIRBY (ADMINISTRATOR)
(301) 651-3980
Entity
Organization
Contact information
Practice address
14201 LAUREL PARK DR STE 214, LAUREL, MD 20707-5203
(240) 295-0405
(240) 270-1024
Mailing address
6030 DAYBREAK CIR A150/118, CLARKSVILLE, MD 21029-1642
(301) 565-2250
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
04/19/2023
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