REYNOLDSBURG PODIATRY CENTER LLC NPI 1588697650

NPI Information

REYNOLDSBURG PODIATRY CENTER LLC is a podiatrist in Reynoldsburg, 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. REYNOLDSBURG PODIATRY CENTER LLC NPI is 1588697650. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7509 E MAIN ST
REYNOLDSBURG, OH
ZIP 43068-268
Phone: (614) 866-3182
Fax: (614) 866-5627

The provider's authorized official is Brock A Liden .
The authorized official title is Physician - Member and has the following contact phone number (614) 866-3182.

The enumeration date for this NPI number is 7/9/2006 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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