# SEACOAST FOOT AND ANKLE CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003663949
- **Authorized official:** DR. RYAN JOSEPH HIEBERT DPM (OWNER/DOCTOR)
- **Authorized official phone:** (215) 990-7274

## Contact information

- **Practice address:** 51 SEWALL ST STE 2, PORTLAND, ME 04102-2644
- **Practice address phone:** (207) 761-3889
- **Practice address fax:** (207) 761-1874
- **Mailing address:** 28 WILDLIFE LN, NORTH YARMOUTH, ME 04097-6359
- **Mailing address phone:** (215) 990-7274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2024
- **Last updated:** 08/06/2024