Individual
DR. ANDREW GRANT PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
827 W WYOMING ST, ALLENTOWN, PA 18103-3961
(610) 432-6221
Mailing address
827 W WYOMING ST, ALLENTOWN, PA 18103-3961
(610) 432-6221
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC005521
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005521
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018704060001
—
PA
Enumeration date
07/26/2005
Last updated
09/11/2025
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