Organization
ANKLE AND FOOT CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A MARTY JR. DPM (PRESIDENT)
(724) 543-3668
Entity
Organization
Contact information
Practice address
186 BLANEY RD, KITTANNING, PA 16201-3508
(724) 543-3668
(724) 543-2087
Mailing address
186 BLANEY RD, KITTANNING, PA 16201-3508
(724) 543-3668
(724) 543-2087
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002620-L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC004665-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011858030001
—
PA
Enumeration date
09/22/2008
Last updated
09/22/2008
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