Healthcare Provider Details

I. General information

NPI: 1932156270
Provider Name (Legal Business Name): SOUTHWEST FOOT AND ANKLE ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 09/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7255 OLD OAK BLVD SUITE C308
CLEVELAND OH
44130-3329
US

IV. Provider business mailing address

7255 OLD OAK BLVD SUITE C308
CLEVELAND OH
44130-3329
US

V. Phone/Fax

Practice location:
  • Phone: 440-816-2735
  • Fax: 440-816-5306
Mailing address:
  • Phone: 440-816-2735
  • Fax: 440-816-5306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: JAMES R HOLFINGER
Title or Position: PRESIDENT
Credential: DPM
Phone: 440-816-2735