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Individual

JOHN PATRICK PADULA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
107 CHURCH ST, RAINBOW CITY, AL 35906-6242
(256) 413-0093
(256) 413-0096
Mailing address
PO BOX 7031, RAINBOW CITY, AL 35906-7031
(256) 413-0093
(256) 413-0096

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000159
AL
213E00000X
Podiatrist
159
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000054952
AL
01
51054952
BCBS
AL
Enumeration date
11/03/2006
Last updated
07/15/2020
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