# ACHILLES FOOT & ANKLE SURGERY PC

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

## Provider details

- **NPI number:** 1619954906
- **Authorized official:** BRUCE GARY BLANK DPM (PRESIDENT)
- **Authorized official phone:** (740) 633-4188

## Contact information

- **Practice address:** 2108 LUMBER AVE STE 2, WHEELING, WV 26003-5350
- **Practice address phone:** (304) 243-8799
- **Practice address fax:** (740) 633-4716
- **Mailing address:** 2108 LUMBER AVE STE 2, WHEELING, WV 26003-5350
- **Mailing address phone:** (304) 243-8799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 00239 | WV | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36002569B | OH | Yes |

## Other

- **Enumeration date:** 12/28/2005
- **Last updated:** 04/20/2008