Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1679376065 |
| LBN Legal business name | MAINE FOOT AND ANKLE SPECIALISTS, PLLC |
| Authorized official | JULES BODO - (OWNNER/PHYSICIAN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/31/2025 |
| Last updated | 08/20/2025 - About 10 months ago |
| Identifiers | n/a |
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