Organization
PERFORMANCE PODIATRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY W ROOF DPM (PRESIDENT)
(513) 563-6228
Entity
Organization
Contact information
Practice address
2859 BOUDINOT AVENUE, SUITE 107, CINCINNATI, OH 45238-0000
(513) 563-6228
(513) 577-7261
Mailing address
10475 READING ROAD, SUITE 404, CINCINNATI, OH 45241-2500
(513) 563-6228
(513) 577-7261
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.003134
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075872
—
OH
Enumeration date
02/01/2011
Last updated
02/01/2011
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