| NPI | 1043470586 |
|---|---|
| Doing Business As | PA ORTHOPEDIC FOOT AND ANKLE SURGEONS |
| Entity Type | Organization |
| Authorized Contact | CHANTE L JACKSON Enrollment Lead 215-662-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2020-11-19 |