Organization · Type 2 NPI
Ohio Podiatric Physicians and Surgeons Group, LLC
Primary Podiatric Medicine Podiatrist · Dayton, OH
NPI number
1043617020
Active
Practice location
5925 N. Main St., Suite D
Dayton, OH 45415-3142
Fax (855) 482-2337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 36003474 (OH) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36003474 (OH) |
| Foot Surgery Podiatrist | 213ES0131X | 36003474 (OH) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1043617020
Ohio Podiatric Physicians and Surgeons Group, LLC's National Provider Identifier is 1043617020, issued on Nov 19, 2014. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Dayton, OH. The record was last updated on Dec 2, 2014.