Doctor Name: | DR. LOUIS G IZZO |
NPI Number: | 1255368429 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | SC005609 |
Business Practice Address: | 255 S 8th St Jeannette, PA - 156443422 |
Business Phone Number: | 7245236700 |
Business Fax Number: | |
Mailing Address: | 255 S 8th St, JEANNETTE |
State: | PA |
Postal Code: | 156443422 |
Phone Number: | 7245236700 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 05/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | SC005609 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |