Organization
SWEETWATER FOOT CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A. DUCKWITZ DPM (PRESIDENT)
(307) 362-9545
Entity
Organization
Contact information
Practice address
2631 FOOTHILL BLVD STE C, ROCK SPRINGS, WY 82901-4770
(307) 362-9545
(307) 362-9732
Mailing address
2631 FOOTHILL BLVD STE C, ROCK SPRINGS, WY 82901-4770
(307) 362-9545
(307) 362-9732
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
119
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00577001
BLUE CROSS BLUE SHIELD
WY
Enumeration date
03/12/2008
Last updated
03/21/2008
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