Organization
ADVANCED FOOT & ANKLE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E WHEELER DPM (OWNER)
(304) 776-7990
Entity
Organization
Contact information
Practice address
400 PRESTIGE PARK DR STE 400B1, HURRICANE, WV 25526-8420
(304) 776-7990
(304) 776-7974
Mailing address
400 PRESTIGE PARK DR STE 400B1, HURRICANE, WV 25526-8420
(304) 776-7990
(304) 776-7974
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
WV00354
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013008572
NPI
—
01
—
4792680001
DMERC
WV
Enumeration date
09/27/2006
Last updated
04/26/2021
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