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Organization
FOOT AND ANKLE CENTERS OF OHIO, INC.
Active
Organization
FOOT AND ANKLE CENTERS OF OHIO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE R LITTLE JR. DPM (PRESIDENT)
(937) 492-9094
Entity
Organization
Contact information
Practice address
2097 W RUSSELL RD, SIDNEY, OH 45365-8683
(937) 492-9094
(934) 492-9478
Mailing address
2097 W RUSSELL RD, SIDNEY, OH 45365-2447
(937) 492-9094
(937) 492-9478
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36002287L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0991646
—
OH
01
—
CJ0376
MEDICARE RAILROAD GROUP
OH
Enumeration date
07/31/2006
Last updated
09/22/2023
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