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Organization
EXTENDED FOOT CARE SERVICES, LLC
Active
Organization
EXTENDED FOOT CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK S MARQUIS D.P.M. (OWNER)
(205) 345-9218
Entity
Organization
Contact information
Practice address
3610 WATERMELON RD, SUITE 103, NORTHPORT, AL 35473-5170
(205) 345-9218
(205) 345-2952
Mailing address
3610 WATERMELON RD, SUITE 103, NORTHPORT, AL 35473-5170
(205) 345-9218
(205) 345-2952
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
123
AL
Other
Enumeration date
01/05/2007
Last updated
09/09/2015
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