| |
136 S Ludlow St, First Floor, Dayton, OH 45402-1813 | |
(937) 499-8273 | |
(937) 223-9811 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 136 S Ludlow St, Dayton, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356681993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
9000 N Main St, Ste 201, Dayton, OH 45415-1180 Ph: (937) 435-6585 | 136 S Ludlow St, First Floor, Dayton, OH 45402-1813 Ph: (937) 499-8273 |