| |
15700 State Route 170, Calcutta, OH 43920-9657 | |
(330) 385-2227 | |
(330) 385-4242 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 15700 State Route 170, Calcutta, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548683154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 128, Girard, OH 44420-0128 Ph: (330) 759-8690 | 15700 State Route 170, Calcutta, OH 43920-9657 Ph: (330) 385-2227 |