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Organization
COMPLETE FOOT AND ANKLE SPECIALISTS LLC
Active
Organization
COMPLETE FOOT AND ANKLE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD F JENNINGS D.P.M. (OWNER/PHYSICIAN)
(614) 893-6942
Entity
Organization
Contact information
Practice address
2330 E HIGH ST STE B, SPRINGFIELD, OH 45505-1371
(937) 322-3346
(937) 599-4852
Mailing address
1400 S MAIN ST, BELLEFONTAINE, OH 43311-1581
(937) 599-3668
(937) 599-4852
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H015112
MEDICARE
OH
Enumeration date
01/17/2013
Last updated
06/01/2023
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