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AURORA FOOT & ANKLE SURGICAL SPECIALISTS LLC NPI 1033441423


NPI Information

NPI: 1033441423
Provider Name: AURORA FOOT & ANKLE SURGICAL SPECIALISTS, LLC

Former Legal Business Name: MANX QUAYLE, DPM LLC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1626 30TH AVE STE 202
FAIRBANKS, AK
ZIP 99701
Phone: (901) 456-3668
Get Directions

AURORA FOOT & ANKLE SURGICAL SPECIALISTS, LLC is a podiatrist in Fairbanks, AK. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. AURORA FOOT & ANKLE SURGICAL SPECIALISTS, LLC NPI is 1033441423. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Manx Quayle, Dpm Llc.

The provider's business location address is:

1626 30TH AVE STE 202
FAIRBANKS, AK
ZIP 99701
Phone: (901) 456-3668
Fax: (901) 456-8637

The provider's authorized official is Manx D Quayle .
The authorized official title is Dpm/owner and has the following contact phone number (907) 456-3668.

The enumeration date for this NPI number is 2/9/2010 and was last updated on 6/11/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist939216ALASKANo
2213E00000XPodiatrist8164ALASKANo
3213E00000XPodiatrist5079ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11023083870OTHERNPPES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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