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Erie Foot And Ankle Center, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
ERIE FOOT AND ANKLE CENTER, LLC12054381992020-11-15
Entity TypeOrganization
Provider OrganizationERIE FOOT AND ANKLE CENTER, LLC
Practice Office Address88 CENTER RD STE 100
BEDFORD, OH US
Practice Office Telephone4407353338
Mailing Address88 CENTER RD STE 100
BEDFORD, OH 441462708 US
Authorized OfficialJACQUELINE DONOVAN, OWNER
4407353338
HPT Codes
CodeLicense NoState
213ES0103X PRIMARY
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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