Doctor Name: | DAREN MICHAEL GUERTIN |
NPI Number: | 1013959477 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | SC005677 |
Business Practice Address: | 2802 Garth Rd Suite 103 Baytown, TX - 775213900 |
Business Phone Number: | 2814228300 |
Business Fax Number: | 2814228311 |
Mailing Address: | 2802 Garth Rd, Suite 103 BAYTOWN |
State: | TX |
Postal Code: | 775213900 |
Phone Number: | 2814228300 |
Fax Number: | 2814228311 |
NPI Enumeration Date: | 06/11/2006 |
NPI Last Update Date: | 02/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC005677 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |