Organization
MIAMI VALLEY PODIATRY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STEVENSON (DPM)
(937) 382-2347
Entity
Organization
Contact information
Practice address
1435 ROMBACH AVE, UNIT 6, WILMINGTON, OH 45177-1991
(937) 382-2347
Mailing address
1435 ROMBACH AVE, UNIT 6, WILMINGTON, OH 45177-1991
(937) 382-2347
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002504
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2442539
—
OH
Enumeration date
09/10/2009
Last updated
05/12/2010
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