Organization Name: | FOOT AND ANKLE CENTERS OF OHIO, INC. |
NPI Number: | 1174574354 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EUGENE R LITTLE (PRESIDENT) |
Mailing Address: | 1013 E Spring St St Marys |
State: | OH US |
Postal Code: | 458852447 |
Phone Number: | 4193948664 |
Fax Number: | 4193941148 |
NPI Enumeration Date: | 05/13/2006 |
NPI Last Update Date: | 12/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 36003384 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |