Organization
ADVANCED FOOT & ANKLE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN TING DPM (OWNER)
(309) 762-5655
Entity
Organization
Contact information
Practice address
2101 47TH ST, MOLINE, IL 61265-3663
(309) 762-5655
Mailing address
840 35TH AVENUE PL STE 102, MOLINE, IL 61265-8026
(309) 762-5655
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/12/2021
Last updated
02/06/2025
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