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Organization

PREMIERE FOOT AND ANKLE LLC

Active
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Organization

PREMIERE FOOT AND ANKLE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER HUDSON (OWNER)
(541) 650-5170
Entity
Organization

Contact information

Practice address
4750 VILLAGE PLAZA LOOP, EUGENE, OR 97401-6601
(541) 650-6170
(877) 478-5629
Mailing address
4750 VILLAGE PLAZA LOOP STE 202, EUGENE, OR 97401-6607
(541) 650-6170
(877) 478-5629

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—

Other

Enumeration date
06/23/2017
Last updated
09/23/2024
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