Individual provider · Type 1 NPI

Sally Caraballo, D.P.M.

Primary Podiatric Medicine Podiatrist · Fairborn, OH

NPI number 1659363471 Active

Practice location

55 N Central Ave, Suite 3
Fairborn, OH 45324-5087

Call (937) 878-2800 Map

Fax (937) 878-7261

Specialties and licenses

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist Primary 213EP1101X2815 (OH)

Primary Podiatric Medicine Podiatrist: Definition to come...

About NPI 1659363471

Sally Caraballo, D.P.M.'s National Provider Identifier is 1659363471, issued on Aug 18, 2005. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Fairborn, OH. The record was last updated on Jul 8, 2007.