Organization
CENTERVILLE FOOT AND ANKLE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRONDON (PRESIDENT)
(937) 433-0444
Entity
Organization
Contact information
Practice address
420 MIAMISBURG CENTERVILLE RD, DAYTON, OH 45459-4752
(937) 433-0444
Mailing address
8870 MOTTER LN, MIAMISBURG, OH 45342-5469
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
36.003616
OH
Other
Enumeration date
07/20/2013
Last updated
07/20/2013
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