| Aurora Foot & Ankle Surgical Specialists, Llc | |
|
1626 30th Ave Ste 202, Fairbanks, AK 99701 | |
| (901) 456-3668 | |
| (901) 456-8637 |
| Full Name | Aurora Foot & Ankle Surgical Specialists, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1626 30th Ave Ste 202, Fairbanks, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033441423 | NPI | - | NPPES |
| 1023083870 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 939216 (Alaska) | Secondary |
| 213E00000X | Podiatrist | 8164 (Alaska) | Secondary |
| 213E00000X | Podiatrist | 5079 (Alaska) | Primary |
| Provider Name | Manx D Quayle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023083870 PECOS PAC ID: 8123030699 Enrollment ID: I20060627000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Foot & Ankle Surgical Specialists, Llc 1626 30th Ave Ste 202, Aurora Foot & Ankle Surgical Specialists Llc, Fairbanks, AK 99701 Ph: (901) 456-3668 | Aurora Foot & Ankle Surgical Specialists, Llc 1626 30th Ave Ste 202, Fairbanks, AK 99701 Ph: (901) 456-3668 |
Dr. Manx Quayle, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1626 30th Ave Ste 202, Suite 202, Fairbanks, AK 99701 Phone: 907-456-3668 Fax: 907-456-8637 | |
Dr. Dustin Randall Hubbard, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1405 Kellum St Ste 200, Fairbanks, AK 99701 Phone: 907-451-9202 | |
Dr. Ralph Sylvan Dixon, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1405 Kellum St, Suite 200, Fairbanks, AK 99701 Phone: 907-451-9202 Fax: 907-452-6256 | |
Fairbanks Foot & Ankle Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 1405 Kellum St., Ste 200, Fairbanks, AK 99701 Phone: 907-451-9202 Fax: 907-452-6256 |