Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI # | 1922137322 |
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| LBN Legal business name | ARCH CITY FOOT AND ANKLE PC | ||||||||
| Authorized official | DENNIS TIMKO - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 03/04/2007 | ||||||||
| Last updated | 07/31/2024 - More than a year ago | ||||||||
| Identifiers |
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