Ohio Podiatric Physicians And Surgeons Group, LLC
Podiatrist, Primary Podiatric Medicine in E Liverpool, OH. Organization (NPI-2).
NPI number1366848749
StatusActive
Last updated in NPPESNov 12, 2014
Details
- NPI
- 1366848749
- Entity type
- Organization (NPI-2)
- Legal business name
- Ohio Podiatric Physicians And Surgeons Group, LLC
- Organization subpart
- No
- Enumeration date
- Nov 12, 2014
- Last updated
- Nov 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | – | – | Yes |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | |
| 213ES0131X | – | – |
Practice location
16844 Saint Clair AveE Liverpool, OH 43920-4277
Phone 330-385-2413 · Fax 330-385-6870
Mailing address
8175 Market StYoungstown, OH 44512-6244
Phone 330-629-8800 · Fax 330-758-4914
Authorized official
Lawrence Didomenico
Managing Partner
3306298800
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