Organization
BRUCE A PICHLER DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE ARTHUR PICHLER DPM (OWNER)
(706) 864-0169
Entity
Organization
Contact information
Practice address
59 TIPTON DR, DAHLONEGA, GA 30533-1603
(706) 864-0169
(706) 864-5396
Mailing address
59 TIPTON DR, DAHLONEGA, GA 30533-1603
(706) 864-0169
(706) 864-5396
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001079
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
704639004N
—
GA
Enumeration date
05/14/2012
Last updated
05/14/2012
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