EXECUTIVE FOOT CENTER INC NPI 1699980276

NPI Information

EXECUTIVE FOOT CENTER INC is a podiatrist in Parma, OH. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. EXECUTIVE FOOT CENTER INC NPI is 1699980276. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5520 BROADVIEW RD
PARMA, OH
ZIP 44134-605
Phone: (800) 379-0398

The provider's authorized official is Ezriel Zelig Schur .
The authorized official title is President and has the following contact phone number (800) 379-0398.

The CLIA number assigned to this NPI record is 36D2246035 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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