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Organization
FAYETTE PODIATRY ASSOCIATES INC
Active
Organization
FAYETTE PODIATRY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN C SALLY DPM (OWNER)
(724) 785-8060
Entity
Organization
Contact information
Practice address
631A NATIONAL PIKE E, BROWNSVILLE, PA 15417
(724) 785-8060
(724) 785-6217
Mailing address
631A NATIONAL PIKE E, BROWNSVILLE, PA 15417-9603
(724) 785-8060
(724) 785-6217
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000938704
—
PA
Enumeration date
06/20/2005
Last updated
06/25/2018
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