Organization Name: | ALLEN C GUEHL DPM INC |
NPI Number: | 1033397872 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLEN C GUEHL (OWNER) |
Mailing Address: | 69 N Dixie Dr Suite B Vandalia |
State: | OH US |
Postal Code: | 453772060 |
Phone Number: | 9372529653 |
Fax Number: | 8663042735 |
NPI Enumeration Date: | 02/04/2008 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 36-003114 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |