Organization
CAPITAL CITY FOOT & ANKLE CENTER LLC
Active
Other names
capital city foot and ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IJAZ ALAM ZIA DPM (OWNER)
(171) 769-7272
Entity
Organization
Contact information
Practice address
219 E MAIN ST STE 121, MECHANICSBURG, PA 17055-6541
(171) 769-7277
(717) 697-2884
Mailing address
219 E MAIN ST STE 121, MECHANICSBURG, PA 17055-6541
(171) 769-7272
(717) 697-2884
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
SC006155
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260483
MEDICARE PTAN
PA
Enumeration date
09/13/2012
Last updated
10/27/2021
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