Healthcare Provider Details

I. General information

NPI: 1700578929
Provider Name (Legal Business Name): STEPHANIE SARILES DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 E STATE ST
ALLIANCE OH
44601-4910
US

IV. Provider business mailing address

200 E STATE ST
ALLIANCE OH
44601-4936
US

V. Phone/Fax

Practice location:
  • Phone: 214-862-5746
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number36.004240
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: