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Organization
NORTHCOAST FOOT AND ANKLE ASSOCIATES, INC.
Active
Organization
NORTHCOAST FOOT AND ANKLE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA L. THORNTON D.P.M. (PRESIDENT)
(440) 734-5662
Entity
Organization
Contact information
Practice address
23823 LORAIN RD, SUITE 280, NORTH OLMSTED, OH 44070-2254
(440) 734-5662
(440) 734-0989
Mailing address
23823 LORAIN RD, SUITE 280, NORTH OLMSTED, OH 44070-2254
(440) 734-5662
(440) 734-0989
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2390
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
395959503
MEDICAL MUTUAL OF OHIO
OH
05
—
TH06211961
—
OH
Enumeration date
11/06/2006
Last updated
06/13/2013
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