Organization
FOOT AND ANKLE CENTERS OF OHIO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE R LITTLE JR. DPM (PRESIDENT)
(419) 394-8664
Entity
Organization
Contact information
Practice address
1013 E SPRING ST, ST MARYS, OH 45885-2447
(419) 394-8664
(419) 394-1148
Mailing address
1013 E SPRING ST, ST MARYS, OH 45885-2447
(419) 394-8664
(419) 394-1148
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003384
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0991646
—
OH
01
—
CJ0376
MEDICARE RAILROAD GROUP
OH
Enumeration date
05/13/2006
Last updated
12/18/2012
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