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Organization
SEACOAST FOOT AND ANKLE CENTER PC
Active
Organization
SEACOAST FOOT AND ANKLE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN JOSEPH HIEBERT DPM (OWNER/DOCTOR)
(215) 990-7274
Entity
Organization
Contact information
Practice address
51 SEWALL ST STE 2, PORTLAND, ME 04102-2644
(207) 761-3889
(207) 761-1874
Mailing address
28 WILDLIFE LN, NORTH YARMOUTH, ME 04097-6359
(215) 990-7274
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
08/06/2024
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