Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1376916742 |
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| LBN Legal business name | ANKLE AND FOOT CLINIC OF ENID, LLC | ||||
| Authorized official | EDWARD LEBRIJA - (PODIATRIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/07/2015 | ||||
| Last updated | 11/07/2015 - About 11 years ago | ||||
| Identifiers |
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