Organization
FALLS FOOT AND ANKLE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J RASPER DPM (OWNER)
(330) 655-7679
Entity
Organization
Contact information
Practice address
421 GRAHAM RD, SUITE D, CUYAHOGA FALLS, OH 44221-1344
(330) 922-0114
(330) 922-4202
Mailing address
PO BOX 1811, STOW, OH 44224-0811
(330) 655-7679
(330) 922-4202
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002645
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0811410
—
OH
01
—
27164724300
BWC INDIVIDUAL
OH
01
—
CG4299
RAILROAD MEDICARE
OH
Enumeration date
08/31/2006
Last updated
12/13/2011
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