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Organization

ASSOCIATED FOOT AND ANKLE SPECIALISTS OF OHIO INC

Active
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Organization

ASSOCIATED FOOT AND ANKLE SPECIALISTS OF OHIO INC

Active
Other names
Regional Podiatry Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA NICELY D.P.M. (PRESIDENT/OWNER)
(937) 264-3150
Entity
Organization

Contact information

Practice address
1001 SHROYER RD, DAYTON, OH 45419-3635
(937) 264-3150
(937) 264-3171
Mailing address
6200 PLEASANT AVE STE 3, FAIRFIELD, OH 45014-4671
(513) 829-9333
(513) 858-7827

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003238
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2922234
—
OH
05
—
2985739
—
OH
01
—
DB9209
RAILROAD MEDICARE
OH
Enumeration date
07/22/2006
Last updated
05/07/2026
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