Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1265726830 |
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| LBN Legal business name | FOOT & ANKLE SURGICAL ASSOCIATES LLP | ||||||||
| Authorized official | GIANNI PERSICH - (MANAGING PARTNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/01/2011 | ||||||||
| Last updated | 06/01/2011 - About 15 years ago | ||||||||
| Identifiers |
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