Doctor Name: | DONALD I KUZYK |
NPI Number: | 1205899689 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | E3256 |
Business Practice Address: | 2369 Michael Dr Newbury Park, CA - 913203233 |
Business Phone Number: | 8054993287 |
Business Fax Number: | 8054993137 |
Mailing Address: | 2369 Michael Dr, NEWBURY PARK |
State: | CA |
Postal Code: | 913203233 |
Phone Number: | 8054993287 |
Fax Number: | 8054993137 |
NPI Enumeration Date: | 04/07/2006 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP0504X |
License Number: | E3256 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Public Medicine |
Taxonomy Definition: |