Organization
FAIRMONT FOOT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID FERRERO D.P.M. (OWNER)
(304) 367-1111
Entity
Organization
Contact information
Practice address
314 FAIRMONT AVE, FAIRMONT, WV 26554-2713
(304) 367-1111
(304) 367-1128
Mailing address
PO BOX 11334, CHARLESTON, WV 25339-1334
(304) 367-1111
(304) 367-1128
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
248
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099603000
—
WV
Enumeration date
03/03/2008
Last updated
09/06/2012
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