Organization
NORTHCOAST FOOT AND ANKLE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA L. THORNTON D.P.M. (PRESIDENT)
(440) 734-5662
Entity
Organization
Contact information
Practice address
23823 LORAIN RD, SUITE 280, NORTH OLMSTED, OH 44070-2254
(440) 734-5662
(440) 734-0989
Mailing address
23823 LORAIN RD, SUITE 280, NORTH OLMSTED, OH 44070-2254
(440) 734-5662
(440) 734-0989
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2390
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
395959503
MEDICAL MUTUAL OF OHIO
OH
05
—
TH06211961
—
OH
Enumeration date
11/06/2006
Last updated
06/13/2013
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