Organization
OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E BENEDICT DPM (OWNER)
(330) 673-3505
Entity
Organization
Contact information
Practice address
1627 E MAIN ST, KENT, OH 44240-2875
(330) 673-3505
(330) 673-4888
Mailing address
1627 E MAIN ST, KENT, OH 44240-2875
(330) 673-3505
(330) 673-4888
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36002148
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
36002148
OH
213ES0131X
Foot Surgery Podiatrist
36002148
OH
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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