Organization
CLAYTON FOOT AND ANKLE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK MICHAEL SIBRIZZI DPM (OWNER)
(919) 585-6607
Entity
Organization
Contact information
Practice address
11618 US HWY 70 W, 108, CLAYTON, NC 27520-2275
(919) 585-6607
(919) 585-6648
Mailing address
118 CRICKET HOLLOW RUN, CLAYTON, NC 27520-5922
(919) 585-6607
(919) 585-6648
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
570
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918668
—
NC
Enumeration date
05/23/2013
Last updated
06/06/2013
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