Individual
ROBERT EZEWUIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1190 HIGHWAY 9 BYP W, LANCASTER, SC 29720-1709
(803) 285-1411
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-4000
(215) 612-4069
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
694
SC
213ES0103X
Foot & Ankle Surgery Podiatrist
694
SC
213ES0131X
Foot Surgery Podiatrist
694
SC
Other
Enumeration date
07/12/2016
Last updated
08/15/2019
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