| Organization Name: | KEYSTONE PODIATRIC MEDICAL ASSOCIATES P C |
| NPI Number: | 1225016116 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD A ROGERS (PRESIDENT CORPORATION) |
| Mailing Address: | 23 N Main St Biglerville |
| State: | PA US |
| Postal Code: | 173070526 |
| Phone Number: | 7176779288 |
| Fax Number: | 7176774196 |
| NPI Enumeration Date: | 01/03/2006 |
| NPI Last Update Date: | 01/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |