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Organization
WADSWORTH FOOT & ANKLE, LLC
Active
Organization
WADSWORTH FOOT & ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK ANTHONY CAMPBELL D.P.M. (OWNER)
(330) 336-7075
Entity
Organization
Contact information
Practice address
229 LEATHERMAN RD, WADSWORTH, OH 44281-9236
(330) 336-7075
(330) 336-4211
Mailing address
229 LEATHERMAN RD, WADSWORTH, OH 44281-9236
(330) 336-7075
(330) 336-4211
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003282
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000329689
ANTHEM
OH
01
—
106409
NATIONWIDE HEALTH PLANS
OH
01
—
1528007002
NPI TYPE 1
OH
05
—
2375488
—
OH
01
—
240517
CIGNA
OH
01
—
5127460001
ADMIN FED
OH
Enumeration date
03/07/2007
Last updated
05/08/2008
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