| Organization Name: | BRUCE A PICHLER DPM PC |
| NPI Number: | 1235498197 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRUCE ARTHUR PICHLER (OWNER) |
| Mailing Address: | 59 Tipton Dr Dahlonega |
| State: | GA US |
| Postal Code: | 305331603 |
| Phone Number: | 7068640169 |
| Fax Number: | 7068645396 |
| NPI Enumeration Date: | 05/14/2012 |
| NPI Last Update Date: | 05/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | POD001079 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |