CENTERVILLE PODIATRY INC NPI 1972782944

NPI Information

CENTERVILLE PODIATRY INC is a podiatrist in Centerville, 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. CENTERVILLE PODIATRY INC NPI is 1972782944. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7301 FAR HILLS AVE
CENTERVILLE, OH
ZIP 45459-415
Phone: (937) 433-0444
Fax: (937) 433-0405

The provider's authorized official is Ronald C Hetman .
The authorized official title is Pres and has the following contact phone number (937) 433-0444.

The CLIA number assigned to this NPI record is 36D2148439 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 2/25/2008.

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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