Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1720126121 |
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| LBN Legal business name | CAPITAL PODIATRY ASSOCIATES | ||||||||||||
| Authorized official | ARNOLD RAVICK - (PODIARIST) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 02/01/2007 | ||||||||||||
| Last updated | 04/08/2008 - About 18 years ago | ||||||||||||
| Identifiers |
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