Organization
RECONSTRUCTIVE FOOT & ANKLE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN NORTON (PRESIDENT)
(260) 432-7600
Entity
Organization
Contact information
Practice address
7920 W JEFFERSON BLVD, SUITE 230, FORT WAYNE, IN 46804-4168
(260) 432-7600
(260) 436-8498
Mailing address
7920 W JEFFERSON BLVD, SUITE 230, FORT WAYNE, IN 46804-4168
(260) 432-7600
(260) 436-8498
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200847960A
—
IN
Enumeration date
02/22/2007
Last updated
02/11/2013
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