Portland Foot & Ankle, Pa

NPI Provider: 1417952318
Contact Name: Juris Scott Robert
Position: Physician/Owner
Phone: (207) 879-1339

Portland Foot & Ankle, Pa Information:

Portland Foot & Ankle, Pa organization have npi 1417952318, taxonomy code is 213ES0103X with license number is 2940 in . This Business address located in 68 Marginal Way, Portland, ME 4101 Maine.

Practice Location
Address: 68 Marginal Way, Portland, ME 4101
Phone: (207) 879-1339

Business Location
Address: 68 Marginal Way, Portland, ME 4101
Phone: (207) 879-1339
Fax: (207) 879-1092

Taxonomy

Taxonomy Code: 213ES0103X

License Number: 2940

License Number of State: OK

Primary Taxonomy Switch: Y

Enumeration Date: 6/16/2005

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