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NPI Code Detail

MEDICARE: DR. DREW JACKSON BELPEDIO DPM

MEDICARE: DR. DREW JACKSON BELPEDIO DPM
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
1213ES0103XFoot & Ankle Surgery Podiatrist36.003525OH
2213EP1101XPrimary Podiatric Medicine Podiatrist36.003525OH

General Provider Information

NPI Number : 1578729026
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DREW JACKSON BELPEDIO DPM
Provider Business Mailing Address
First Line : 1871 W WILLIAM ST
Second Line :
City : DELAWARE
State : OH
Zip : 43015-2255
Country : US
Telephone Number : 740-363-4373
Fax Number :
Provider Business Practice Location Address
First Line : 1871 W WILLIAM ST
Second Line :
City : DELAWARE
State : OH
Zip : 43015-2255
Country : US
Telephone Number : 740-363-4373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2008
Last Update Date : 10/21/2014

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