Organization · Type 2 NPI
Reconstructive Foot & Ankle Specialists, LLC
Foot & Ankle Surgery Podiatrist · Fort Wayne, IN
NPI number
1255496352
Active
Practice location
7910 W Jefferson Blvd, Suite 300
Fort Wayne, IN 46804-4159
Mailing address
P.o. Box 12754
Fort Wayne, IN 46866-2754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 07000881A (IN) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1255496352
Reconstructive Foot & Ankle Specialists, LLC's National Provider Identifier is 1255496352, issued on Dec 27, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 4, 2008.