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Organization

ASSOCIATED FOOT AND ANKLE SPECIALISTS OF OHIO INC

Active
Other names
Regional Podiatry Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA NICELY D.P.M. (PRESIDENT/OWNER)
(937) 264-3150
Entity
Organization

Contact information

Practice address
1001 SHROYER RD, DAYTON, OH 45419-3635
(937) 264-3150
(937) 264-3171
Mailing address
6200 PLEASANT AVE STE 3, FAIRFIELD, OH 45014-4671
(513) 829-9333
(513) 858-7827

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003238
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2922234
OH
05
2985739
OH
01
DB9209
RAILROAD MEDICARE
OH
Enumeration date
07/22/2006
Last updated
05/07/2026
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