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Organization
SOUTHEAST ALABAMA FOOT CLINIC, P.C.
Active
Organization
SOUTHEAST ALABAMA FOOT CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RUSSELL WUERTZER D.P.M. (PRESIDENT)
(334) 792-3922
Entity
Organization
Contact information
Practice address
1550 E MAIN ST, DOTHAN, AL 36301-3012
(334) 792-3922
(334) 712-0405
Mailing address
1550 E MAIN ST, DOTHAN, AL 36301-3012
(334) 792-3922
(334) 712-0405
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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