Organization
IN STEP PODIATRY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUEEN MBANUZUE (OWNER)
(301) 430-0337
Entity
Organization
Contact information
Practice address
2905 MITCHELLVILLE RD, SUITE 105, BOWIE, MD 20716-1385
(301) 430-0337
(301) 542-0086
Mailing address
PO BOX 683, BOWIE, MD 20718-0683
(301) 430-0311
(301) 542-0086
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043167200
—
MD
Enumeration date
06/29/2011
Last updated
09/20/2022
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