Seacoast Foot And Ankle Center PC
Podiatrist, Foot & Ankle Surgery in Portland, ME. Organization (NPI-2).
NPI number1003663949
StatusActive
Last updated in NPPESAug 6, 2024
Details
- NPI
- 1003663949
- Entity type
- Organization (NPI-2)
- Legal business name
- Seacoast Foot And Ankle Center PC
- Organization subpart
- No
- Enumeration date
- Apr 30, 2024
- Certification date
- Aug 6, 2024
- Last updated
- Aug 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
Practice location
51 Sewall St Ste 2Portland, ME 04102-2644
Phone 207-761-3889 · Fax 207-761-1874
Mailing address
28 Wildlife LnNorth Yarmouth, ME 04097-6359
Phone 215-990-7274
Other practice locations
443 Main St
Biddeford, ME 04005-2124
Biddeford, ME 04005-2124
Phone 207-761-3889 · Fax 207-761-1874
Authorized official
Ryan Joseph Hiebert
Owner/Doctor
2159907274
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