Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1912645250 |
| LBN Legal business name | FOOT ANKLE & LOWER LEG SPECIALISTS |
| Authorized official | YILMA KEBELO - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/26/2022 |
| Last updated | 10/26/2022 - About 4 years ago |
| Identifiers | n/a |
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FOOT ANKLE & LOWER LEG SPECIALISTS
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