Individual
DR. PIERRE GLADNER DESROSIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
CORNER OF RT N12 AND N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000751
MO
213E00000X
Podiatrist
12-00251
KS
Other
Enumeration date
01/13/2006
Last updated
11/20/2019
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