| |
1564 Garbry Road, Piqua, OH 45356 | |
(937) 773-2853 | |
(937) 773-9653 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1564 Garbry Road, Piqua, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609972371 | NPI | - | NPPES |
0852500001 | Other | OH | ADMINASTAR FEDERAL |
0866586 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 609, Vandalia, OH 45377-0609 Ph: (937) 773-2853 | 1564 Garbry Road, Piqua, OH 45356 Ph: (937) 773-2853 |
Cary Copeland Dpm Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1255 E Ash St, Piqua, OH 45356 Phone: 937-773-0980 Fax: 937-773-1006 |