NPI 1033441423

Aurora Foot & Ankle Surgical Specialists, LLC

Organisation Podiatrist Fairbanks, AK

Practice location

Address: 1626 30th Ave STE 202, Fairbanks, AK 99701
Phone: (901) 456-3668
Fax: (901) 456-8637
Mailing address: 1626 30th Ave STE 202 Aurora Foot & Ankle Surgical Specialists LLC, Fairbanks, AK 99701

Authorised official

Name: Manx D Quayle
Title: Dpm/Owner
Phone: (907) 456-3668

Registered specialties (3)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 5079 (AK)

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Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 939216 (AK)

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 8164 (AK)

Registry record

NPI: 1033441423
Entity type: Organization
NPI issued: 9 Feb 2010
Record last updated: 11 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.