Individual
BRIAN SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6200 PLEASANT AVE, SUITE 3, FAIRFIELD, OH 45014-4670
(513) 829-9333
(513) 858-7827
Mailing address
3000 HOSPITAL DR, BATAVIA, OH 45103-1921
(513) 735-8924
(513) 732-8348
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003369
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2502661
—
OH
Enumeration date
03/08/2006
Last updated
04/23/2019
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