Individual
DR. DOMINIC ANGELO RIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4260 GLENDALE MILFORD RD STE 103, BLUE ASH, OH 45242-3752
(513) 769-4408
(513) 769-4578
Mailing address
PO BOX 322, BATAVIA, OH 45103-0322
(513) 474-1906
(513) 474-9272
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003227R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000256186
ANTHEM
OH
05
—
2217925
—
OH
01
—
P00030052
RR MEDICARE
OH
Enumeration date
02/09/2006
Last updated
03/03/2020
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