Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1861056459 |
| LBN Legal business name | CARSON FOOT & ANKLE CLINIC, LLC |
| Authorized official | MATTHEW CARSON - (PODIATRIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/29/2019 |
| Last updated | 04/29/2019 - About 7 years ago |
| Identifiers | n/a |
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