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Organization
OHIO FOOT INSTITUTE, INC.
Active
Organization
OHIO FOOT INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. PHILIP DAVIDSON DPM (OWNER)
(330) 759-1132
Entity
Organization
Contact information
Practice address
3200 BELMONT AVE, YOUNGSTOWN, OH 44505-1862
(330) 759-1132
(330) 759-1113
Mailing address
3200 BELMONT AVE, YOUNGSTOWN, OH 44505-1862
(330) 759-1132
(330) 759-1113
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128287
BLUE CROSS/ BLUE SHIELD
OH
05
—
2005887
—
OH
Enumeration date
08/27/2007
Last updated
08/27/2007
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