Organization
ADVANCED FOOT AND ANKLE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BILANT DPM (PRESIDENT)
(440) 255-6222
Entity
Organization
Contact information
Practice address
8808 TYLER BLVD, MENTOR, OH 44060-4361
(440) 255-6222
(440) 255-4321
Mailing address
8808 TYLER BLVD, MENTOR, OH 44060-4361
(440) 777-6017
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2339044
—
OH
Enumeration date
01/05/2006
Last updated
12/29/2009
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