institution
Omalley Foot And Ankle Pa
Foot Surgery Podiatrist in Wilmington, North Carolina
NPI 1952400806

Omalley Foot And Ankle Pa is a Foot Surgery Podiatrist based in Wilmington, NC and is specialized in Foot Surgery. Omalley Foot And Ankle Pa practices in Wilmington, NC. The NPI Number for Omalley Foot And Ankle Pa is 1952400806 and holds a License No. 418 (North Carolina).

The current practice location address for Omalley Foot And Ankle Pa is 1505 Medical Center Dr, Wilmington, NC and can be reached out via phone at 910-251-9880 and via fax at 910-251-9297.

Location: 1505 Medical Center Dr, Wilmington, NC, 28401-7507
institution
Provider Profile Details
NPI Number
1952400806
Provider Name
Omalley Foot And Ankle Pa
Credential
Provider Entity Type
Organization
Address
1505 Medical Center Dr, Wilmington, NC, 28401-7507
Phone Number
910-251-9880
Fax Number
910-251-9297
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1284510001 01 NC MEDICARE DMERC PTAN
018H0 01 NC BCBS-NC
790801M 05 NC
institution
Provider Business Practice Location Address Details
Address
1505 Medical Center Dr
City
State
Zip
28401-7507
Phone Number
910-251-9880
Fax Number
910-251-9297
person
Provider Business Mailing Address Details
Address
1505 Medical Center Dr
City
State
Zip
28401-7507
Phone Number
910-251-9880
Fax Number
910-251-9297
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
418 (North Carolina)
Definition
Definition to come...
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