Provider Demographics
NPI:1235629833
Name:STEP RIGHT PODIATRY, INC
Entity Type:Organization
Organization Name:STEP RIGHT PODIATRY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAD
Authorized Official - Middle Name:JUSTIN
Authorized Official - Last Name:BORLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:724-880-1563
Mailing Address - Street 1:510 MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:AMBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:15003-2412
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:510 MAPLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:AMBRIDGE
Practice Address - State:PA
Practice Address - Zip Code:15003-2412
Practice Address - Country:US
Practice Address - Phone:724-266-3180
Practice Address - Fax:724-266-1740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty