Organization
PERFORMANCE PODIATRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY W ROOF DPM (PRESIDENT)
(513) 563-6228
Entity
Organization
Contact information
Practice address
6350 GLENWAY AVE, SUITE 301, CINCINNATI, OH 45211-6378
(513) 563-6228
(513) 577-7261
Mailing address
10475 READING RD, SUITE 404, CINCINNATI, OH 45241-2563
(513) 563-6228
(513) 577-7261
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003134
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075872
—
OH
Enumeration date
10/31/2011
Last updated
10/31/2011
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