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Organization
PREMIER HEALTH SPECIALISTS INC
Active
Organization
PREMIER HEALTH SPECIALISTS INC
Active
Other names
Advanced Ankle and Foot Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PRUNIER (CEO/PRESIDENT)
(937) 499-8205
Entity
Organization
Contact information
Practice address
1 WYOMING ST, STE 3115, DAYTON, OH 45409-2722
(937) 208-6745
(937) 208-6746
Mailing address
1 WYOMING ST, STE 3115, DAYTON, OH 45409-2722
(937) 208-6745
(937) 208-6746
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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