Organization
INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELDON PETERS (VICE PRESIDENT)
(919) 829-0076
Entity
Organization
Contact information
Practice address
130 LAKE CONCORD RD NE STE B, CONCORD, NC 28025-1906
(704) 786-4482
Mailing address
1036 BRANCHVIEW DR STE 216, CONCORD, NC 28025-0113
(048) 861-9187
(704) 257-2049
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
443
NC
213ER0200X
Radiology Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5921668
—
NC
Enumeration date
09/14/2012
Last updated
08/20/2025
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