Organization
WESTERN PA FOOT AND ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN A BOYLE DPM (OWNER)
(412) 371-9330
Entity
Organization
Contact information
Practice address
1789 S BRADDOCK AVE, SUITE 365, PITTSBURGH, PA 15218-1842
(412) 371-9330
(412) 371-8167
Mailing address
1789 S BRADDOCK AVE, SUITE 365, PITTSBURGH, PA 15218-1842
(412) 371-9330
(412) 371-8167
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC003826L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014743320004
—
PA
Enumeration date
11/21/2006
Last updated
06/25/2008
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