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Organization
FEET FIRST INC PC
Active
Organization
FEET FIRST INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J KEANE DPM (CEO)
(937) 847-5551
Entity
Organization
Contact information
Practice address
4000 MIAMISBURG CENTERVILLE RD, SUITE 201, MIAMISBURG, OH 45342-3758
(937) 847-5551
(937) 847-8635
Mailing address
4000 MIAMISBURG CENTERVILLE RD, SUITE 201, MIAMISBURG, OH 45342-3758
(937) 847-5551
(937) 847-8635
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36002572
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020376
ANTHEM
—
05
—
0757604
—
OH
01
—
092070
AETNA
—
Enumeration date
01/17/2008
Last updated
02/13/2008
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