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Individual

IAN AVEYTUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2434 RICHMILLER LN UNIT C, BELPRE, OH 45714-1075
(740) 423-3207
(740) 423-3227
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003882
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0308535
OH
Enumeration date
04/08/2015
Last updated
05/13/2024
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