Organization Name: | OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC |
NPI Number: | 1093111080 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA D. GUEHL (OFFICE MANAGER) |
Mailing Address: | 1911 N. Fairfiled Rd Suite 210 Beavercreek |
State: | OH US |
Postal Code: | 454322754 |
Phone Number: | 9374269500 |
Fax Number: | 8554822337 |
NPI Enumeration Date: | 11/18/2014 |
NPI Last Update Date: | 11/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 36003671 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |