Organization
URBAN PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOT FRANCIS BERTOLO D.P.M. (SOLE MEMBER OF LLC)
(614) 824-5336
Entity
Organization
Contact information
Practice address
4485 N HIGH ST, COLUMBUS, OH 43214-2637
(614) 824-5336
(614) 732-4990
Mailing address
4485 N HIGH ST, COLUMBUS, OH 43214-2637
(614) 824-5336
(614) 732-4990
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003201
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3014946
—
OH
Enumeration date
08/13/2009
Last updated
10/23/2012
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