Advanced Foot And Ankle Specialists, LLC
Podiatrist in Mentor, OH. Organization (NPI-2).
NPI number1801874383
StatusActive
Last updated in NPPESDec 29, 2009
Details
- NPI
- 1801874383
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Foot And Ankle Specialists, LLC
- Organization subpart
- No
- Enumeration date
- Jan 5, 2006
- Last updated
- Dec 29, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | OH |
Practice location
8808 Tyler BlvdMentor, OH 44060-4361
Phone 440-255-6222 · Fax 440-255-4321
Mailing address
8808 Tyler BlvdMentor, OH 44060-4361
Phone 440-777-6017
Authorized official
Kevin Bilant
President
4402556222
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