Organization
PREMIERE FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HUDSON (OWNER)
(541) 650-5170
Entity
Organization
Contact information
Practice address
4750 VILLAGE PLAZA LOOP, EUGENE, OR 97401-6601
(541) 650-6170
(877) 478-5629
Mailing address
4750 VILLAGE PLAZA LOOP STE 202, EUGENE, OR 97401-6607
(541) 650-6170
(877) 478-5629
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
06/23/2017
Last updated
09/23/2024
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