# ALTA RIDGE FOOT SPECIALISTS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629412671
- **Authorized official:** ROBERT VAN BREDERODE DPM (OWNER/PROVIDER)
- **Authorized official phone:** (828) 766-7667

## Contact information

- **Practice address:** 440 ALTAPASS HWY, SPRUCE PINE, NC 28777-3011
- **Practice address phone:** (828) 766-7667
- **Mailing address:** 440 ALTAPASS HWY, SPRUCE PINE, NC 28777-3011
- **Mailing address phone:** (828) 766-7667
- **Mailing address fax:** (828) 766-7668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 04/22/2013
- **Last updated:** 01/10/2020