Healthcare Provider Details

I. General information

NPI: 1104847391
Provider Name (Legal Business Name): WEST CHESTER FOOT AND ANKLE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 02/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 CHILLICOTHE AVE
HILLSBORO OH
45133-1536
US

IV. Provider business mailing address

280 CHILLICOTHE AVE
HILLSBORO OH
45133-1536
US

V. Phone/Fax

Practice location:
  • Phone: 937-840-0600
  • Fax: 937-840-0700
Mailing address:
  • Phone: 937-840-0600
  • Fax: 937-840-0700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number36-00-2964
License Number StateOH

VIII. Authorized Official

Name: DR. BRYAN D GIESY
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 937-840-0600