Organization
FRONTIER FOOT AND ANKLE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK BAHARLOO (OWNER)
(541) 329-2555
Entity
Organization
Contact information
Practice address
780 2ND ST SE # 10, BANDON, OR 97411-8354
(971) 247-1080
(971) 223-3243
Mailing address
780 2ND ST SE # 10, BANDON, OR 97411-8354
(971) 247-1080
(971) 223-3243
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
02/20/2025
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