# PREMIER FOOT AND ANKLE RECONSTRUCTIVE SURGERY PLLC

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

## Provider details

- **NPI number:** 1447097977
- **Authorized official:** KIMBERLEE B HOBIZAL (PHYSICIAN/OWNER)
- **Authorized official phone:** (515) 664-2827

## Contact information

- **Practice address:** 2620 CONSTITUTION BLVD STE 104, BEAVER FALLS, PA 15010-1278
- **Practice address phone:** (412) 830-7837
- **Practice address fax:** (412) 909-4168
- **Mailing address:** 2620 CONSTITUTION BLVD STE 104, BEAVER FALLS, PA 15010-1278
- **Mailing address phone:** (412) 830-7837
- **Mailing address fax:** (412) 909-4168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2024
- **Last updated:** 07/11/2024