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Organization

NORTH COAST FOOT & ANKLE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON D CRILLEY DPM (OWNER)
(814) 823-3692
Entity
Organization

Contact information

Practice address
145 W 23RD ST, SUITE 302A, ERIE, PA 16502-2858
(814) 454-5634
(814) 454-5639
Mailing address
3530 PEACH ST, SUITE LL1, ERIE, PA 16508-2768
(814) 860-5036
(814) 860-5063

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Enumeration date
10/15/2008
Last updated
10/26/2009
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