Organization
EASTERN SHORE FOOT CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDELL BRAUN D.P.M. (PRESIDENT)
(251) 626-5065
Entity
Organization
Contact information
Practice address
1913 US HIGHWAY 98, DAPHNE, AL 36526-4371
(251) 626-5065
(251) 626-7580
Mailing address
1913 US HIGHWAY 98, DAPHNE, AL 36526-4371
(251) 626-5065
(251) 626-7580
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
82
AL
Other
Enumeration date
01/03/2007
Last updated
11/18/2010
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