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Organization
COMPLETE FOOT & ANKLE L.L.C.
Active
Organization
COMPLETE FOOT & ANKLE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEVGENIY SHAGAS D.P.M. (OWNER)
(206) 683-4453
Entity
Organization
Contact information
Practice address
2350 TREMONT ST, #410, PHILADELPHIA, PA 19115-5030
(206) 683-4453
Mailing address
2350 TREMONT ST, #410, PHILADELPHIA, PA 19115-5030
(206) 683-4453
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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