Healthcare Provider Details
I. General information
NPI: 1316327562
Provider Name (Legal Business Name): WESTMORELAND FOOT & ANKLE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/03/2015
Last Update Date: 06/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
81 2ND ST
LEECHBURG PA
15656
US
IV. Provider business mailing address
81 2ND ST
LEECHBURG PA
15656-1325
US
V. Phone/Fax
- Phone: 724-832-1000
- Fax: 724-837-4830
- Phone: 724-845-7670
- Fax: 724-845-6121
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | PA |
VIII. Authorized Official
Name: DR.
CHERRIE
FABRY
CINDRIC
Title or Position: OWNER
Credential: DPM
Phone: 724-832-1000