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ADVANCED FOOT AND ANKLE CENTER LLC NPI 1275245565


NPI Information

NPI: 1275245565
Provider Name: ADVANCED FOOT AND ANKLE CENTER LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
73 ENGREM AVE
RUTLAND, VT
ZIP 05701
Phone: (217) 553-9265
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ADVANCED FOOT AND ANKLE CENTER LLC is a foot and ankle surgery podiatrist in Rutland, VT. ADVANCED FOOT AND ANKLE CENTER LLC NPI is 1275245565. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

73 ENGREM AVE
RUTLAND, VT
ZIP 05701-517
Phone: (217) 553-9265

The provider's authorized official is Ian Odigie .
The authorized official title is Podiatrist and has the following contact phone number (217) 553-9265.

The enumeration date for this NPI number is 12/19/2022 and was last updated on 12/19/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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: 5/5/2024

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