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Organization

FOOT & ANKLE CENTER, LLC

Active
Parent organization
FOOT & ANKLE CENTER
Other names
Foot & Ankle Center Fairview Heights
Organization subpart
Yes

Provider details

NPI number
Legal business name
FOOT & ANKLE CENTER
Authorized official
LOUIS AQUINO DPM (OWNER)
(618) 632-4885
Entity
Organization

Contact information

Practice address
5400 N ILLINOIS ST, STE 101, FAIRVIEW HEIGHTS, IL 62208-3501
(618) 632-4885
(618) 632-0350
Mailing address
1299 REAVIS BARRACKS RD, SAINT LOUIS, MO 63125-3260
(314) 989-0300

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
04/19/2007
Last updated
12/24/2008
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