# EAGLE FOOT & ANKLE SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1881718963
- **Authorized official:** DR. GIDEON S BURIAN DPM (OWNER)
- **Authorized official phone:** (610) 458-0752

## Contact information

- **Practice address:** 855 SPRINGDALE DR, SUITE 120, EXTON, PA 19341-2852
- **Practice address phone:** (610) 458-0752
- **Practice address fax:** (610) 524-0133
- **Mailing address:** PO BOX 1091, DOYLESTOWN, PA 18901-0020
- **Mailing address phone:** (610) 458-0752
- **Mailing address fax:** (610) 524-0133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC004423L | PA | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 04/03/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1992742704 | INDIVIDUAL NPI NUMBER | PA |