Organization Name: | FOOT & ANKLE CLINIC PC |
NPI Number: | 1184621880 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN KEITH PARRIS (PRESIDENT) |
Mailing Address: | 1050 Sw 3rd Ave Ste 600 Ontario |
State: | OR US |
Postal Code: | 979142193 |
Phone Number: | 5418811319 |
Fax Number: | 5418811238 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 06/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | DP00131 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |