Individual
JACOB RIZKALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
163 TOWER CIR, SOMERSET, KY 42503-3479
(606) 679-7441
Mailing address
1 OLD MILL RD APT 4, NEW HOPE, PA 18938-1311
(906) 367-0160
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
286833
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2019
Last updated
09/12/2023
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