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NPI Code Detail

MEDICARE: ROBERT A. ATWELL, D.P.M.

MEDICARE: ROBERT A. ATWELL, D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213EP1101XPrimary Podiatric Medicine Podiatrist36001945OH

General Provider Information

NPI Number : 1538341136
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT A. ATWELL, D.P.M.
Provider Business Mailing Address
First Line : 809 COSHOCTON AVE
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-1900
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 809 COSHOCTON AVE
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-1900
Country : US
Telephone Number : 740-397-4262
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ROBERT A. ATWELL
Credential : D.P.M.
Telephone Number : 740-397-4262
Provider Enumeration Date : 12/05/2007
Last Update Date : 04/23/2015

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