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Individual

DR. LUTHER WALTER BOND III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
312 E MAIN ST, PEN ARGYL, PA 18072-1641
(610) 863-5214
(610) 863-0123
Mailing address
312 E MAIN ST, PEN ARGYL, PA 18072-1641
(610) 863-5214
(610) 863-0123

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC003825L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SCOO3825L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015366500001
PA
01
SCOO3825L
STATE LIC.
PA
Enumeration date
08/09/2005
Last updated
01/24/2008
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