Healthcare Provider Details

I. General information

NPI: 1831490010
Provider Name (Legal Business Name): DUBLIN FOOT AND ANKLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2010
Last Update Date: 03/04/2020
Certification Date: 03/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 PERIMETER DR SUITE B
DUBLIN OH
43016-8051
US

IV. Provider business mailing address

3695 N HIGH ST
COLUMBUS OH
43214-3520
US

V. Phone/Fax

Practice location:
  • Phone: 614-267-8387
  • Fax: 614-761-1809
Mailing address:
  • Phone: 614-267-8387
  • Fax: 614-267-2250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number36 002076
License Number StateOH

VIII. Authorized Official

Name: DR. COREY J GRIFFITH
Title or Position: PRESIDENT
Credential: DPM
Phone: 614-267-8387