Organization · NPI-2

Dr Mark A Gotfryd PC

Podiatrist · Birmingham, AL

NPI number1902972607
StatusActive
Last updated in NPPESFeb 1, 2008

Details

NPI
1902972607
Entity type
Organization (NPI-2)
Legal business name
Dr Mark A Gotfryd PC
Organization subpart
No
Enumeration date
Nov 27, 2006
Last updated
Feb 1, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist00109ALYes
335E00000X Prosthetic/Orthotic Supplier––

Other names

  • Mark A Gotfryd Dpm PC (Former Legal Business Name)

Practice location

1703 Center Point Pkwy
Birmingham, AL 35215-5505

Phone 205-853-7878 · Fax 205-853-8272

Mailing address

1703 Center Point Pkwy
Birmingham, AL 35215-5505

Phone 205-853-7878 · Fax 205-853-8272

Authorized official

Mark Gotfryd
President
2058537878

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