Foot and Ankle Surgical Assoc

NPI #1205816766 in Wells, Maine

Provider Information

NPI Number: 1205816766
Entity Type: Organization
Organization Name: Foot and Ankle Surgical Assoc
Primary Specialty: Podiatrist
Enumeration Date: Jan 20, 2006
Last Updated: Jul 22, 2008

Practice Location

Address: 952 POST ROAD
Address 2: FOOT AND ANKLE SURGICAL ASSOC
City: Wells
State: Maine
ZIP Code: 04090
Phone: (207) 646-9996

Authorized Official

Name: STEVEN BRAGG
Title: BILLING MANAGER
Phone: (207) 854-1544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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