Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot |
213ES0131X | 48 | Podiatry |
| NPI Number | 1730289125 |
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| LBN Legal business name | OMAHA FOOT AND ANKLE SPECIALISTS PC | ||||||||
| Authorized official | MICHAEL CULLEN - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 09/25/2006 | ||||||||
| Last updated | 06/14/2018 - About 8 years ago | ||||||||
| Identifiers |
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