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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. D.P.M. (PRESIDENT)
(419) 394-8664
Entity
Organization
Contact information
Practice address
825 W MARKET ST, SUITE 305, LIMA, OH 45805-2790
(419) 224-8414
(419) 224-8436
Mailing address
1013 E SPRING ST, SAINT MARYS, OH 45885-2447
(419) 394-8664
(419) 394-1148
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
09/13/2006
Last updated
03/23/2015
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