Organization
A PLUS FAMILY FOOT AND ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAI T PHAM DPM (OWNER)
(330) 474-0500
Entity
Organization
Contact information
Practice address
1221 S. WATER STREET, SUITE A, KENT, OH 44240
(330) 474-0500
(330) 474-0501
Mailing address
1221 S. WATER STREET, SUITE A, KENT, OH 44240
(330) 474-0500
(330) 474-0501
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2415470
—
OH
Enumeration date
09/14/2006
Last updated
09/26/2013
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