Organization
ADVANCED ARTHROSCOPIC FOOT & ANKLE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EDWIN PROMMERSBERGER JR. D.P.M. (ONWER)
(330) 726-3348
Entity
Organization
Contact information
Practice address
940 WINDHAM CT, SUITE 3, BOARDMAN, OH 44512-5060
(330) 726-3348
Mailing address
940 WINDHAM CT, SUITE 3, BOARDMAN, OH 44512-5060
(330) 726-3348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
36-00-2619
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/20/2012
Last updated
05/28/2021
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