Organization
ADVANCED FOOT AND ANKLE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN R. BOREN DPM (PRESIDENT)
(330) 477-4400
Entity
Organization
Contact information
Practice address
4642 HILLS DALES RD NW, CANTON, OH 44708-1510
(330) 477-4400
Mailing address
4642 HILLS DALES RD NW, CANTON, OH 44708-1510
(330) 477-4400
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36. 001949
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2056466
—
OH
Enumeration date
01/03/2008
Last updated
07/14/2008
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