Organization
RICHMOND FOOT AND ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA RENNEE RICHMOND DPM (PODIATRIST)
(937) 219-9831
Entity
Organization
Contact information
Practice address
5163 BELLE ISLE DR, DAYTON, OH 45439-3229
(937) 829-1269
Mailing address
1323 W 3RD ST, DAYTON, OH 45402-6714
(937) 461-4336
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
59.000143
OH
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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