Organization
PODIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY DODDS PARKS CPC, CPB (AR SUPERVISOR)
(216) 672-4330
Entity
Organization
Contact information
Practice address
6563 WILSON MILLS RD, SUITE 101, MAYFIELD VILLAGE, OH 44143-3409
(216) 245-1290
(866) 571-4884
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(216) 245-1290
(866) 571-4884
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
02/26/2025
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