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NPI 1497720973

IndividualActive

John Dimaggio, DPM

NPI 1497720973 · Podiatrist · Bandon, OR

Provider details

NPI number: 1497720973
Entity type: Individual
Primary specialty: PodiatristPodiatric Medicine & Surgery Service Providers
Credential: DPM
Sex: Male
Sole proprietor: No
License: DP00364 (OR)

Practice location

913 11th St Se

Suite 2

Bandon, OR 97411-9168

Phone: (541) 347-8283

Fax: (541) 347-3632

More OR providers

Mailing address

913 11th St Se

Bandon, OR 97411-9168

Registry dates

Enumerated: 2006-02-20
Last updated: 2008-05-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

John Dimaggio, DPM — NPI 1497720973, Bandon, OR | NPI Central