Organization Name: | SANDRA K. FOX, DPM |
NPI Number: | 1093989816 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA K FOX (D.P.M.) |
Mailing Address: | 1063 N Detroit St Xenia |
State: | OH US |
Postal Code: | 453851928 |
Phone Number: | 9373762002 |
Fax Number: | 9373764042 |
NPI Enumeration Date: | 04/14/2008 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 36002599F |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |