# CAPITAL FOOT & ANKLE CARE CENTRE PA

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

## Provider details

- **NPI number:** 1053320580
- **Authorized official:** DR. DOUGLAS H HALLGREN D.P.M. (PRESIDENT)
- **Authorized official phone:** (301) 862-3338

## Contact information

- **Practice address:** 22325 GREENVIEW PKWY, GREAT MILLS, MD 20634-3491
- **Practice address phone:** (301) 862-3338
- **Practice address fax:** (301) 862-3335
- **Mailing address:** PO BOX 1310, CALIFORNIA, MD 20619-1310
- **Mailing address phone:** (301) 862-3338
- **Mailing address fax:** (301) 862-3335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N/A | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N/A | — | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | 01346 | MD | — |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 05/17/2023