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Organization
CLAYTON FOOT AND ANKLE, P.C.
Active
Organization
CLAYTON FOOT AND ANKLE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK MICHAEL SIBRIZZI DPM (OWNER)
(919) 585-6607
Entity
Organization
Contact information
Practice address
11618 US HWY 70 W, 108, CLAYTON, NC 27520-2275
(919) 585-6607
(919) 585-6648
Mailing address
118 CRICKET HOLLOW RUN, CLAYTON, NC 27520-5922
(919) 585-6607
(919) 585-6648
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
570
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918668
—
NC
Enumeration date
05/23/2013
Last updated
06/06/2013
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