Organization
KEYSTONE PODIATRIC MEDICAL ASSOCIATES
Active
Other names
Londonderry Foot & Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALLEN ROGERS DPM (PRESIDENT CORPORATION)
(717) 677-9288
Entity
Organization
Contact information
Practice address
845 SIR THOMAS COURT, SUITE 2, HARRISBURG, PA 17109
(717) 652-5811
(717) 541-1161
Mailing address
PO BOX 526, BIGLERVILLE, PA 17307-0526
(717) 677-9288
(717) 677-4196
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016004560014
—
PA
Enumeration date
12/27/2006
Last updated
07/09/2014
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