AMBULATORY FOOT CENTER PC NPI 1063630291

NPI Information

AMBULATORY FOOT CENTER PC is a foot and ankle surgery podiatrist in Grants Pass, OR. AMBULATORY FOOT CENTER PC NPI is 1063630291. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1619 NW HAWTHORNE AVE STE 110
GRANTS PASS, OR
ZIP 97526-008
Phone: (541) 471-7056

The provider's authorized official is Mark L Simchuk .
The authorized official title is Excutive Officer and has the following contact phone number (541) 471-7056.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/21/2009.

Taxonomy Codes

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Other Identifiers

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