Organization
OHIO PODIATRIC PHYSICIAN AND SURGEONS GROUP
Active
Organization
OHIO PODIATRIC PHYSICIAN AND SURGEONS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY FRANKLIN DAVIS DPM (PHYSICIAN)
(330) 688-7764
Entity
Organization
Contact information
Practice address
3553 DARROW RD, STOW, OH 44224-4008
(330) 688-7764
(330) 688-7876
Mailing address
335 E WATERLOO RD, AKRON, OH 44319-1218
(330) 724-8689
(330) 724-5470
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36-00-3300D
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
36-00-3300D
OH
213ES0131X
Foot Surgery Podiatrist
36-00-3300D
OH
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
Update your record
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