Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot |
213ES0131X | 48 | Podiatry | |
Primary Podiatric Medicine |
213EP1101X | 48 | Podiatry |
| NPI # | 1669857181 |
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| LBN Legal business name | CENTRAL OREGON FOOT & ANKLE GROUP, INC. | ||||||||||||||||||||||||
| Authorized official | AMANDA WESTFALL - (PODIATRY) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 07/27/2015 | ||||||||||||||||||||||||
| Last updated | 01/13/2022 - About 4 years ago | ||||||||||||||||||||||||
| Identifiers |
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