Medford Foot & Ankle Clinic, Pc in Medford - Podiatric
Medford Foot & Ankle Clinic, Pc - NPI 1508967886
Medford Foot & Ankle Clinic, Pc is a Podiatric in Medford, Oregon. Medford Foot & Ankle Clinic, Pc practices all healthcare services and medical treatments related to Podiatric. The NPI Number for Medford Foot & Ankle Clinic, Pc is 1508967886. The last update date is 2021-01-05.
Medford Foot & Ankle Clinic, Pc's current location address is 713 Golf View Drive, Medford, Oregon. You can contact this provider via phone number 5417701225 and fax number 5417701245. The mailing address for Medford Foot & Ankle Clinic, Pc is 713 Golf View Drive, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medford Foot & Ankle Clinic, Pc |
|---|---|
| Address | 713 Golf View Drive, Medford, Oregon |
| Phone Number | 5417701225 |
| Fax Number | 5417701245 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER PR |
|---|---|
| Authorized Official Name | Dekorte Andrew Michael |
| Credentials | DPM |
| Telephone Number | 5417701225 |
NPI Number Detail
| NPI Number | 1508967886 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2021-01-05 |
Provider Mailing Address Detail
| Address | 713 Golf View Drive |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975049643 |
| Phone Number | 5417701225 |
| Fax Number | 5417701245 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatric |
|---|---|
| Taxonomy | 261Qp1100X |
|
Definition: Provides conservative and surgical foot and ankle care. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 240546 | OR | -- | |
| 23677000 | OR | REGENCE BC |
Post Comment/ Review Below
What is the unique identification code assigned to Medford Foot & Ankle Clinic, Pc by the Centers for Medicare & Medicaid Services?
The Medford Foot & Ankle Clinic, Pc has been issued the NPI (National Provider Identifier) 1508967886. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Medford Foot & Ankle Clinic, Pc's facilities are geographically located?
The facilities of Medford Foot & Ankle Clinic, Pc are physically situated at the following location: 713 Golf View Drive, Medford, OR, 975049643.
What is Medford Foot & Ankle Clinic, Pc's area of expertise and its corresponding taxonomy classification?
The Medford Foot & Ankle Clinic, Pc's field of specialization is Podiatric, and it falls under the taxonomy code 261Qp1100X, which categorizes healthcare providers based on their areas of practice.
On what date did Medford Foot & Ankle Clinic, Pc receive its 1508967886 assignment from the Centers for Medicare & Medicaid Services?
The Medford Foot & Ankle Clinic, Pc was assigned its 1508967886 on 2006-09-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Medford Foot & Ankle Clinic, Pc last refreshed?
The information related to the Medford Foot & Ankle Clinic, Pc, including its address, specialty, and other relevant details, was last updated on 2021-01-05.
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