Organization
CONNECTICUT FOOT SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KEITH WAGNER (OWNER)
(860) 470-5703
Entity
Organization
Contact information
Practice address
11 SOUTH RD LOWR LEVEL20, FARMINGTON, CT 06032-2483
(860) 470-5703
(860) 909-0506
Mailing address
11 SOUTH RD, LOWER LEVEL 20, FARMINGTON, CT 06032-2483
(860) 470-5703
(860) 606-6838
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000144
CT
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/04/2006
Last updated
04/21/2026
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