# RECONSTRUCTIVE FOOT & ANKLE SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1255496352
- **Authorized official:** DR. JONATHAN V NORTON DPM (PRESIDENT)
- **Authorized official phone:** (260) 969-1950

## Contact information

- **Practice address:** 7910 W JEFFERSON BLVD, SUITE 300, FORT WAYNE, IN 46804-4159
- **Practice address phone:** (260) 969-1950
- **Mailing address:** P.O. BOX 12754, FORT WAYNE, IN 46866-2754
- **Mailing address phone:** (260) 969-1950
- **Mailing address fax:** (260) 969-0988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 07000881A | IN | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 08/04/2008
