| Dr Manx Quayle, DPM | |
|
1626 30th Ave Ste 202, Suite 202, Fairbanks, AK 99701-7423 | |
| (907) 456-3668 | |
| (907) 456-8637 |
| Full Name | Dr Manx Quayle |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 1626 30th Ave Ste 202, Fairbanks, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023083870 | NPI | - | NPPES |
| PD4324 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 5079 (Alaska) | Primary |
| Provider Name | Aurora Foot & Ankle Surgical Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033441423 PECOS PAC ID: 1456480771 Enrollment ID: O20100525000979 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manx Quayle, DPM 1626 30th Ave Ste 202, Suite 202, Fairbanks, AK 99701-7423 Ph: (907) 456-3668 | Dr Manx Quayle, DPM 1626 30th Ave Ste 202, Suite 202, Fairbanks, AK 99701-7423 Ph: (907) 456-3668 |
Aurora Foot & Ankle Surgical Specialists, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1626 30th Ave Ste 202, Fairbanks, AK 99701 Phone: 901-456-3668 Fax: 901-456-8637 | |
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 |