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Organization
LEGACY FOOT AND ANKLE LLC
Active
Organization
LEGACY FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHILOH ROSE THOMAN DPM (PRESIDENT)
(541) 740-0462
Entity
Organization
Contact information
Practice address
603 N STATE ST, GIRARD, OH 44420-1748
(541) 740-0462
Mailing address
603 N STATE ST, GIRARD, OH 44420-1748
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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