Organization Name: | ARTHUR R JEYNES DPM PC |
NPI Number: | 1184830234 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARTHUR RALEIGH JEYNES (PRESIDENT) |
Mailing Address: | 8805 Pine Ridge Drive Cadillac |
State: | MI US |
Postal Code: | 496012373 |
Phone Number: | 2317793668 |
Fax Number: | 2317794496 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 03/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | AJ002019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |