Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1205259041 |
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| LBN Legal business name | RANGE FOOT & ANKLE, PLC | ||||
| Authorized official | KATIE EVANS - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/30/2014 | ||||
| Last updated | 10/05/2018 - About 8 years ago | ||||
| Identifiers |
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