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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFREY LEE IDOL, D.P.M.

Active

JEFFREY LEE IDOL, D.P.M. is a Podiatrist healthcare provider located in LAPLATA, Maryland. NPI 1689682734 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · LAPLATA, MD

Registration Details

NPI Number
1689682734
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2006 (20.068413179154 yrs)
Last Updated
Jul 9, 2007
License
00992 (MD)

Practice Information

Address
515 CHARLES STREET
LAPLATA, MD, 20646
Browse MD providers · Browse ZIP 20646
Phone
3019343345
Fax
3019343345
Primary Specialty
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.