Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1275676421 |
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| LBN Legal business name | ADVANCED PODIATRIC SERVICES | ||||||||||||||||
| Authorized official | JOSEPH MEGARA - (OWNER OPERATER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 02/15/2007 | ||||||||||||||||
| Last updated | 03/30/2009 - About 17 years ago | ||||||||||||||||
| Identifiers |
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