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Organization
CAPITAL FOOT & ANKLE CARE CENTRE PA
Active
Organization
CAPITAL FOOT & ANKLE CARE CENTRE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS H HALLGREN D.P.M. (PRESIDENT)
(301) 862-3338
Entity
Organization
Contact information
Practice address
22325 GREENVIEW PKWY, GREAT MILLS, MD 20634-3491
(301) 862-3338
(301) 862-3335
Mailing address
PO BOX 1310, CALIFORNIA, MD 20619-1310
(301) 862-3338
(301) 862-3335
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N/A
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N/A
—
332900000X
Non-Pharmacy Dispensing Site
01346
MD
Other
Enumeration date
08/05/2006
Last updated
05/17/2023
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