NPI Profile for ADVANCED FOOT ANKLE CENTER INC in MOLINE, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Podiatrist |
213E00000X | 48 | Podiatry |
| NPI Number | 1235728510 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/12/2021 | |
| Last updated | 02/06/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ADVANCED FOOT & ANKLE CENTER INC
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