Organization
MARK D CETTIE
Active
Other names
High Plains Podiatry Group
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D CETTIE DPM (CFO)
(806) 354-8760
Entity
Organization
Contact information
Practice address
1900 S COULTER ST STE P, AMARILLO, TX 79106-1795
(806) 354-8760
(806) 354-8792
Mailing address
1900 S COULTER ST STE P, AMARILLO, TX 79106-1795
(806) 354-8760
(806) 354-8792
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
TX0974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072AX
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/06/2007
Last updated
08/14/2012
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