NPI 1417952318
Portland Foot & Ankle, PA
Practice location
- Address
- 68 Marginal Way 4th Floor, Portland, ME 04101
- Phone
- (207) 879-1339
- Fax
- (207) 879-1092
Authorised official
- Name
- Robert Scott Juris
- Title
- Physician/Owner
- Phone
- (207) 879-1339
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1417952318
- Entity type
- Organization
- NPI issued
- 16 Jun 2005
- Record last updated
- 20 Mar 2014
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.