Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers |
| NPI # | 1891748471 |
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| LBN Legal business name | FOOT & ANKLE SURGICAL GROUP, LLP | ||||||||||||
| Authorized official | GERALD TORGESEN - (GENERAL PARTNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 05/18/2006 | ||||||||||||
| Last updated | 02/04/2014 - About 12 years ago | ||||||||||||
| Identifiers |
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