# BUCKEYE FOOT & ANKLE, LLC

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

## Provider details

- **NPI number:** 1619338373
- **Authorized official:** DR. SUSAN YU DPM (PARTNER)
- **Authorized official phone:** (937) 653-6105

## Contact information

- **Practice address:** 498 LONDON AVE, SUITE F, MARYSVILLE, OH 43040-5512
- **Practice address phone:** (937) 578-2424
- **Practice address fax:** (937) 578-2471
- **Mailing address:** 883 LONDON AVE STE C, MARYSVILLE, OH 43040-9166
- **Mailing address phone:** (937) 645-0102
- **Mailing address fax:** (937) 795-1150

## Taxonomy

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

## Other

- **Enumeration date:** 03/09/2016
- **Last updated:** 02/02/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2096146 | — | OH |