Organization Name: | DONALD I KUZYK DPM INC |
NPI Number: | 1407938566 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD I KUZYK (PODIATRIST) |
Mailing Address: | 2369 Michael Dr Newbury Park |
State: | CA US |
Postal Code: | 913203233 |
Phone Number: | 8054993287 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E3256 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |