Advanced Foot & Ankle Care, Pllc | |
400 Prestige Park Dr Ste 400b1, Hurricane, WV 25526-8420 | |
(304) 776-7990 | |
(304) 776-7974 |
Full Name | Advanced Foot & Ankle Care, Pllc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 400 Prestige Park Dr Ste 400b1, Hurricane, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013008572 | NPI | - | NPPES |
1013008572 | Other | NPI | |
4792680001 | Other | WV | DMERC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | WV00354 (West Virginia) | Primary |
Provider Name | Jeffrey Eugene Wheeler |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1174562748 PECOS PAC ID: 7719016765 Enrollment ID: I20100601000089 |
Mailing Address | Practice Location Address |
---|---|
Advanced Foot & Ankle Care, Pllc 400 Prestige Park Dr Ste 400b1, Hurricane, WV 25526-8420 Ph: (304) 776-7990 | Advanced Foot & Ankle Care, Pllc 400 Prestige Park Dr Ste 400b1, Hurricane, WV 25526-8420 Ph: (304) 776-7990 |
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