FOOTSOURCE MD LLC NPI 1386807543

NPI Information

FOOTSOURCE MD, LLC is a customized equipment durable medical equipment medical supplies in Westerville, OH. FOOTSOURCE MD, LLC NPI is 1386807543. The provider is registered as an organization entity type.

The provider's business location address is:

300 POLARIS PKWY
SUITE 2000
WESTERVILLE, OH
ZIP 43082-989
Phone: (614) 895-8747
Fax: (614) 882-6503

The provider's authorized official is Thomas H Lee .
The authorized official title is President and has the following contact phone number (614) 895-8747.

The enumeration date for this NPI number is 7/8/2008 and was last updated on 12/1/2010.

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:

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