NPI 1346661865

Pioneer Foot and Ankle Specialists

Organisation Podiatrist Bristol, TN

Practice location

Address: 28 Midway St, Bristol, TN 37620-1706
Phone: (423) 854-0001
Fax: (423) 854-0002
Mailing address: 926 West Oakland Ave STE 206, Johnson City, TN 37604-4100

Authorised official

Name: Paul Kent Wilson
Title: Owner
Phone: (423) 854-0001

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence DPM732 (TN)

Other Podiatrist providers in Tennessee →

Registry record

NPI: 1346661865
Entity type: Organization
NPI issued: 31 Dec 2013
Record last updated: 31 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.