# URBAN PODIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194957993
- **Authorized official:** DR. SCOT FRANCIS BERTOLO D.P.M. (SOLE MEMBER OF LLC)
- **Authorized official phone:** (614) 824-5336

## Contact information

- **Practice address:** 4485 N HIGH ST, COLUMBUS, OH 43214-2637
- **Practice address phone:** (614) 824-5336
- **Practice address fax:** (614) 732-4990
- **Mailing address:** 4485 N HIGH ST, COLUMBUS, OH 43214-2637
- **Mailing address phone:** (614) 824-5336
- **Mailing address fax:** (614) 732-4990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36.003201 | OH | Yes |

## Other

- **Enumeration date:** 08/13/2009
- **Last updated:** 10/23/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3014946 | — | OH |