Organization
SUMMIT FOOTWEAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR OLIGERI, III CPED (OWNER)
(814) 868-2918
Entity
Organization
Contact information
Practice address
7520 PEACH ST, ERIE, PA 16509-4762
(814) 868-2918
(814) 866-9395
Mailing address
7520 PEACH ST, ERIE, PA 16509-4762
(814) 868-2918
(814) 866-9395
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000007331
PA
335E00000X
Prosthetic/Orthotic Supplier
6000007331
PA
Other
Enumeration date
06/24/2009
Last updated
11/09/2011
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