Organization
FOOT & ANKLE CLINIC PC
Active
Organization
FOOT & ANKLE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KEITH PARRIS DPM (PRESIDENT)
(541) 881-1319
Entity
Organization
Contact information
Practice address
1050 SW 3RD AVE, STE 600, ONTARIO, OR 97914-2193
(541) 881-1319
(541) 881-1238
Mailing address
1050 SW 3RD AVE, STE 600, ONTARIO, OR 97914-2193
(541) 881-1319
(541) 881-1238
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DP00131
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806648700
—
ID
Enumeration date
07/07/2005
Last updated
06/30/2008
Update your record
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