| Doctor Name: | DR. DOMINIC ANGELO RIZZO |
| NPI Number: | 1043283047 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 36003227R |
| Business Practice Address: | 4260 Glendale Milford Rd Suite 103 Blue Ash, OH - 452423704 |
| Business Phone Number: | 5137694408 |
| Business Fax Number: | 5137694578 |
| Mailing Address: | Po Box 322, BATAVIA |
| State: | OH |
| Postal Code: | 451030322 |
| Phone Number: | 5134741906 |
| Fax Number: | 5134749272 |
| NPI Enumeration Date: | 02/09/2006 |
| NPI Last Update Date: | 05/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 36003227R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |