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Organization

WORTHINGTON FOOT & ANKLE, LLC

Active
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Organization

WORTHINGTON FOOT & ANKLE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THERESA M FAUVER (CREDENTIALING MANAGER)
(440) 357-8418
Entity
Organization

Contact information

Practice address
7620 OLENTANGY RIVER RD STE 100, COLUMBUS, OH 43235-1363
(614) 905-6342
Mailing address
37 E WILSON BRIDGE RD, WORTHINGTON, OH 43085-2354
(614) 905-6342

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.003681
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023345956
NPI INDIVIDUAL
01
1962715722
NPI INDIVIDUAL
Enumeration date
11/19/2014
Last updated
02/24/2025
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