NPI 1245563501 · live from the CMS NPI Registry
Advanced Ankle And Foot Surgeons, LLC
Podiatrist in O Fallon, IL. National Provider Identifier 1245563501, active.
NPI record
| NPI | 1245563501 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 4905 Stone Falls Ctr Ste B, O Fallon, IL 62269 |
| Practice phone | 618-277-0001 |
| Enumerated | September 17, 2009 |
| Last updated | May 29, 2019 |
| Authorized official | Michele Taylor, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 016.004852 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.