NPI 1013138528

John P Miketa, DPM

Practitioner Podiatrist Fuquay Varina, NC

Practice location

Address: 122 North Main St, Fuquay Varina, NC 27526-1933
Phone: (919) 557-5148
Fax: (919) 557-5645

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 337 (NC)

Other Podiatrist providers in North Carolina →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 337 (NC)

Registry record

NPI: 1013138528
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2007
Record last updated: 4 Aug 2008

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.