Organization
SOUTHEAST ALABAMA FOOT CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RUSSELL WUERTZER D.P.M. (PRESIDENT)
(334) 792-3922
Entity
Organization
Contact information
Practice address
1550 E MAIN ST, DOTHAN, AL 36301-3012
(334) 792-3922
(334) 712-0405
Mailing address
1550 E MAIN ST, DOTHAN, AL 36301-3012
(334) 792-3922
(334) 712-0405
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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