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Organization
STEP LIVELY FOOT AND ANKLE CENTERS INC
Active
Organization
STEP LIVELY FOOT AND ANKLE CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA HUITZ (BILLING REPRESENTATIVE)
(614) 304-0019
Entity
Organization
Contact information
Practice address
3387 FARM BANK WAY, GROVE CITY, OH 43123-1973
(614) 782-3668
(614) 782-3674
Mailing address
1045 BEECHER XING N, SUITE A, GAHANNA, OH 43230-4573
(614) 304-0019
(614) 304-0023
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
05
—
0753340
—
OH
01
—
DP4315
MEDICARE RAILROAD
OH
Enumeration date
12/15/2010
Last updated
10/05/2011
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