Organization
ROYALTON FOOT & ANKLE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTIE S ALLRED (BILLING SPECIALIST)
(269) 428-2440
Entity
Organization
Contact information
Practice address
4035 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9156
(269) 428-2440
(269) 428-0980
Mailing address
4035 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9156
(269) 428-2440
(269) 428-0980
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
CO001158
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366587354
MEDICARE DME
MI
01
—
480A16098
BCBS
MI
Enumeration date
06/20/2006
Last updated
11/27/2023
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