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NPI Code Detail

MEDICARE: ANKLE AND FOOT CARE CENTERS

MEDICARE: ANKLE AND FOOT CARE CENTERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15504OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255387296
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANKLE AND FOOT CARE CENTERS
Provider Business Mailing Address
First Line : 315 STRUTHERS LIBERTY RD
Second Line :
City : CAMPBELL
State : OH
Zip : 44405-1949
Country : US
Telephone Number : 330-750-1333
Fax Number :
Provider Business Practice Location Address
First Line : 315 STRUTHERS LIBERTY RD
Second Line :
City : CAMPBELL
State : OH
Zip : 44405-1949
Country : US
Telephone Number : 330-750-1333
Fax Number :
Authorized Official
Title or Position : DPM
Name : LAWRENCE DIDOMENICO
Credential :
Telephone Number : 330-629-8800
Provider Enumeration Date : 05/25/2006
Last Update Date : 11/01/2007

Similar Medicare Providers

1649261868 — DR. MICHAEL WILLIAM SHULTZ DO
Practice Location Address:
315 STRUTHERS LIBERTY RD
CAMPBELL, OH
44405-1949
Practice Phone: 330-750-1333
Practice Fax: 330-750-0203
1548239791 — MR. RICHARD A BAILEY JR. PA-C
Practice Location Address:
315 STRUTHERS LIBERTY RD
CAMPBELL, OH
44405-1949
Practice Phone: 330-750-1333
Practice Fax: 330-750-0203
1629037239 — DR. DOUGLAS DALZIEL LEWIS D.O.
Practice Location Address:
315 STRUTHERS LIBERTY RD
CAMPBELL, OH
44405-1949
Practice Phone: 330-750-1333
Practice Fax: 330-750-0203
1497717664 — HEALTHRIDGE MEDICAL CENTER INC
Practice Location Address:
315 STRUTHERS LIBERTY RD
CAMPBELL, OH
44405-1949
Practice Phone: 330-750-1333
Practice Fax: 330-750-0203
1669434213 — KEVIN CRAIG GIBSON D.C.
Practice Location Address:
315 STRUTHERS LIBERTY RD
CAMPBELL, OH
44405-1949
Practice Phone: 330-750-1333
Practice Fax: 330-750-0203
1831125491 — MRS. REBECCA ANNE DEPIETRO WILLIAMS PT
Practice Location Address:
315 STRUTHERS LIBERTY RD
CAMPBELL, OH
44405-1949
Practice Phone: 330-750-0800
Practice Fax: 330-750-0693

Directions to “ANKLE AND FOOT CARE CENTERS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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