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Organization
EAGLE FOOT & ANKLE SPECIALISTS, LLC
Active
Organization
EAGLE FOOT & ANKLE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIDEON S BURIAN DPM (OWNER)
(610) 458-0752
Entity
Organization
Contact information
Practice address
855 SPRINGDALE DR, SUITE 120, EXTON, PA 19341-2852
(610) 458-0752
(610) 524-0133
Mailing address
PO BOX 1091, DOYLESTOWN, PA 18901-0020
(610) 458-0752
(610) 524-0133
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004423L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992742704
INDIVIDUAL NPI NUMBER
PA
Enumeration date
03/16/2007
Last updated
04/03/2015
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