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Organization
AURORA FOOT & ANKLE SURGICAL SPECIALISTS, LLC
Active
Organization
AURORA FOOT & ANKLE SURGICAL SPECIALISTS, LLC
Active
Other names
Manx Quayle, DPM LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MANX D QUAYLE DPM (DPM/OWNER)
(907) 456-3668
Entity
Organization
Contact information
Practice address
1626 30TH AVE STE 202, FAIRBANKS, AK 99701
(901) 456-3668
(901) 456-8637
Mailing address
1626 30TH AVE STE 202, AURORA FOOT & ANKLE SURGICAL SPECIALISTS LLC, FAIRBANKS, AK 99701
(901) 456-3668
(901) 456-8637
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5079
AK
213E00000X
Podiatrist
8164
AK
213E00000X
Podiatrist
939216
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023083870
NPPES
—
Enumeration date
02/09/2010
Last updated
06/11/2015
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