Organization
TUSSEY MOUNTAIN FOOT & ANKLE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN BERNHARD (PODIATRIST)
(814) 599-6431
Entity
Organization
Contact information
Practice address
1526 MARTIN ST, STATE COLLEGE, PA 16803-3058
(814) 996-4134
Mailing address
701 WINDSOR CT, STATE COLLEGE, PA 16801-4231
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
02/21/2022
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