Doctor Name: | DR. DUANE DUMM |
NPI Number: | 1609879816 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | SC004164R |
Business Practice Address: | 1012 Bigler Ave Lower Level Northern Cambria, PA - 157140000 |
Business Phone Number: | 8149484000 |
Business Fax Number: | 8149482021 |
Mailing Address: | 2727 Beale Ave, Suite A ALTOONA |
State: | PA |
Postal Code: | 166011705 |
Phone Number: | 8149461075 |
Fax Number: | 8149464076 |
NPI Enumeration Date: | 05/23/2005 |
NPI Last Update Date: | 11/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | SC004164R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |