Organization
PORTLAND FOOT & ANKLE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SCOTT JURIS DPM (PHYSICIAN/OWNER)
(207) 879-1339
Entity
Organization
Contact information
Practice address
68 MARGINAL WAY, 4TH FLOOR, PORTLAND, ME 04101
(207) 879-1339
(207) 879-1092
Mailing address
68 MARGINAL WAY, 4TH FLOOR, PORTLAND, ME 04101
(207) 879-1339
(207) 879-1092
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0619920001
DMERC GROUP
ME
01
—
480023694
ROBERT S. JURIS
ME
01
—
480030888
K. PAUL FLANIGAN
ME
01
—
CH4448
PALMETTO GROUP
ME
Enumeration date
06/16/2005
Last updated
03/20/2014
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