| |
107 Church Street, Rainbow City, AL 35906 | |
(256) 413-0093 | |
(256) 413-0096 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 107 Church Street, Rainbow City, Alabama |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447365721 | NPI | - | NPPES |
51054952 | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | John Patrick Padula |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1790864486 PECOS PAC ID: 8527174515 Enrollment ID: I20101104001564 |
Mailing Address | Practice Location Address |
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Po Box 7031, Rainbow City, AL 35906 Ph: (256) 413-0093 | 107 Church Street, Rainbow City, AL 35906 Ph: (256) 413-0093 |
John Patrick Padula, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 107 Church St, Rainbow City, AL 35906 Phone: 256-413-0093 Fax: 256-413-0096 |