Organization
ADVANCED FOOT & ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E CORNELL DPM (CEO)
(402) 345-6503
Entity
Organization
Contact information
Practice address
3213 SOUTH 24TH STREET, SUITE 101B, OMAHA, NE 68108-1832
(402) 345-6503
(402) 345-0309
Mailing address
3213 SOUTH 24TH STREET, SUITE 101B, OMAHA, NE 68108-1832
(402) 345-6503
(402) 345-0309
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
164
NE
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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