Organization
ASHTABULA FOOT AND ANKLE SURGEONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD RAYMOND FARLEY D.P.M. (OWNER)
(440) 964-5595
Entity
Organization
Contact information
Practice address
1604 W 19TH ST, ASHTABULA, OH 44004-3036
(440) 964-5595
(440) 964-5003
Mailing address
1604 W 19TH ST, ASHTABULA, OH 44004-3036
(440) 964-5595
(440) 964-5003
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36002243
OH
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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