# ADVANCED ARTHROSCOPIC FOOT & ANKLE ASSOCIATES, INC.

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

## Provider details

- **NPI number:** 1659638104
- **Authorized official:** DR. JAMES EDWIN PROMMERSBERGER JR. D.P.M. (ONWER)
- **Authorized official phone:** (330) 726-3348

## Contact information

- **Practice address:** 940 WINDHAM CT, SUITE 3, BOARDMAN, OH 44512-5060
- **Practice address phone:** (330) 726-3348
- **Mailing address:** 940 WINDHAM CT, SUITE 3, BOARDMAN, OH 44512-5060
- **Mailing address phone:** (330) 726-3348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36-00-2619 | OH | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2012
- **Last updated:** 05/28/2021