Eastover Foot & Ankle PA
Podiatrist, Foot & Ankle Surgery in Matthews, NC. Organization (NPI-2).
NPI number1932297264
StatusActive
Last updated in NPPESOct 2, 2015
Details
- NPI
- 1932297264
- Entity type
- Organization (NPI-2)
- Legal business name
- Eastover Foot & Ankle PA
- Organization subpart
- No
- Enumeration date
- Oct 11, 2006
- Last updated
- Oct 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 200001392347 | NC | Yes |
Practice location
428 N. Trade StreetSuite 100
Matthews, NC 28105-5017
Phone 704-841-4000 · Fax 704-841-4338
Mailing address
Po Box 1539Matthews, NC 28106-1539
Phone 704-841-4000 · Fax 704-841-4338
Authorized official
Ronald Victor Futerman
President
7048414000
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