Organization
TRUSSVILLE FOOT CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANDERSON DPM (OWNER)
(205) 661-1400
Entity
Organization
Contact information
Practice address
1930 EDWARDS LAKE RD, SUITE 138, BIRMINGHAM, AL 35235-3718
(205) 661-1400
Mailing address
1930 EDWARDS LAKE RD, SUITE 138, BIRMINGHAM, AL 35235-3718
(205) 661-1400
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
209
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529906320
—
AL
Enumeration date
12/18/2008
Last updated
12/18/2008
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