Organization
ANDREW D. HEWCHUCK, D.P.M., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW HEWCHUCK D.P.M. (PRESIDENT)
(760) 872-1636
Entity
Organization
Contact information
Practice address
310 W LINE ST, BISHOP, CA 93514-3413
(760) 872-1636
Mailing address
310 W LINE ST, BISHOP, CA 93514-3413
(760) 872-1636
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3878
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E38780
—
CA
Enumeration date
11/20/2007
Last updated
07/16/2012
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