Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1912079377 |
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| LBN Legal business name | CENTER FOR FOOT AND ANKLE CARE PC | ||||||||
| Authorized official | JEFFREY WILPS - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 11/14/2006 | ||||||||
| Last updated | 06/03/2008 - About 18 years ago | ||||||||
| Identifiers |
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