Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1346457314 |
| LBN Legal business name | MID AMERICA FOOT AND ANKLE SPECIALIST, PC |
| Authorized official | BECKY WHITNEY - (OFFICE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/17/2007 |
| Last updated | 09/11/2008 - About 18 years ago |
| Identifiers | n/a |
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