Southeast Alabama Foot Clinic, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SOUTHEAST ALABAMA FOOT CLINIC, P.C.

Practice address

1550 E Main St
Dothan, AL 36301-3012

Phone

(334) 792-3922

Fax

(334) 712-0405

NPI assigned

Oct 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Russell Wuertzer, D.P.M.

Title

President

Phone

(334) 792-3922

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811070410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013012",
            "telephone_number": "334-792-3922",
            "fax_number": "334-712-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013012",
            "telephone_number": "334-792-3922",
            "fax_number": "334-712-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ALABAMA FOOT CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WUERTZER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-792-3922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunara H Sotelo, EAMP, DAOM
• South Al Sleep Centers Inc
• Southeast Alabama Counseling & Behavioral Specialist
• Southeast Alabama Counseling and Behavioral Specialist Services, LLC
• Southeast Alabama ENT Head & Neck
• Southeast Alabama Homecare, LLC
• Southeast Alabama Maternity Care Program
• Southeast Alabama Medical Center
• Southeast Alabama Medical Center Employee Pharmacy
• Southeast Alabama Regional Planning and Development Commission

• Podiatrist in Dothan, AL
• Providers in Dothan, AL by specialty
• Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.