Organization
COMPLETE FOOT AND ANKLE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNE PETRAS (CREDENTIALING)
(304) 737-7016
Entity
Organization
Contact information
Practice address
401 MARKET ST, SUITE 802, STEUBENVILLE, OH 43952-2881
(740) 282-0861
(740) 282-7002
Mailing address
401 MARKET ST, SUITE 802, STEUBENVILLE, OH 43952-2881
(740) 282-0861
(740) 282-7002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003211
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285657460
INDIVIDUAL NPI
—
05
—
3138170
—
OH
Enumeration date
11/24/2010
Last updated
07/09/2024
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