Excel Podiatry LLC
Podiatrist in Fairfield, OH. Organization (NPI-2).
NPI number1750816005
StatusActive
Last updated in NPPESMay 31, 2017
Details
- NPI
- 1750816005
- Entity type
- Organization (NPI-2)
- Legal business name
- Excel Podiatry LLC
- Organization subpart
- No
- Enumeration date
- Apr 25, 2017
- Last updated
- May 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 36003404 | OH | Yes |
Practice location
6200 Pleasant AveSte 3
Fairfield, OH 45014-4670
Phone 513-829-9333 · Fax 513-858-7827
Mailing address
6200 Pleasant AveSte 3
Fairfield, OH 45014-4670
Phone 513-829-9333 · Fax 513-858-7827
Authorized official
Tiffany Orlando-Weber
Owner
2165342773
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