NPI:
1053597914
Provider Name:
KENDALL P. TABOR, D.P.M
Other Name: SUPERIOR PODIATRY ASSOCIATES, P.L.C.
Classification:
Podiatrist - 213ES0103X
Entity Type:
Organization
Specialization: Foot & Ankle Surgery
Address:
1414 W FAIR AVE
STE 215
MARQUETTE, MI
ZIP 49855
Phone:
(906) 225-7709
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KENDALL P. TABOR, D.P.M is a foot and ankle surgery podiatrist in Marquette, MI. KENDALL P. TABOR, D.P.M NPI is 1053597914. The provider is registered as an organization entity type.
The provider Other Name Is Superior Podiatry Associates, P.l.c..
The provider's business location address is:
1414 W FAIR AVE
STE 215
MARQUETTE, MI
ZIP 49855-675
Phone: (906) 225-7709
Fax: (906) 225-7707
The provider's authorized official is Kendall P Tabor .
The authorized official title is Owner/podiatrist and has the following contact phone number (906) 225-7709.
The enumeration date for this NPI number is 1/10/2008 and was last updated on 12/20/2011.