Individual
DR. BRIAN JEFFERY ALTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3923 CHESTER BLVD, RICHMOND, IN 47374-1085
(765) 962-0521
(765) 962-1610
Mailing address
18251 MERCHANTS AVE, PORT CHARLOTTE, FL 33948-2300
(815) 517-5981
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3818
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100354620A
—
IN
05
—
2529679
—
OH
Enumeration date
10/23/2006
Last updated
12/18/2017
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