Organization
RECONSTRUCTIVE FOOT & ANKLE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN V NORTON DPM (PRESIDENT)
(260) 432-7600
Entity
Organization
Contact information
Practice address
1316 E 7TH ST, SUITE E, AUBURN, IN 46706-2523
(260) 432-7600
Mailing address
7910 W JEFFERSON BLVD, SUITE 300, FORT WAYNE, IN 46804-4159
(260) 432-7600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200847960
—
IN
Enumeration date
05/29/2007
Last updated
07/22/2008
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