Individual
NATHAN DALY STICKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2421 IRA E WOODS AVE STE 100, GRAPEVINE, TX 76051-3907
(817) 416-6155
(817) 329-9434
Mailing address
2421 IRA E WOODS AVE STE 100, GRAPEVINE, TX 76051-3907
(817) 416-6155
(817) 329-9434
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2061
TX
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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