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Organization
ELITE FOOT AND ANKLE LLC
Active
Organization
ELITE FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR A DAVY DPM (OWNER)
(614) 539-4964
Entity
Organization
Contact information
Practice address
6024 HOOVER RD, SUITE F, GROVE CITY, OH 43123-8133
(614) 539-4964
(614) 539-4609
Mailing address
6024 HOOVER RD, SUITE F, GROVE CITY, OH 43123-8133
(614) 539-4964
(614) 539-4609
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36-003396
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058765
—
OH
Enumeration date
12/22/2011
Last updated
06/18/2012
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