Organization
BRONDON FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C BRONDON (DPM)
(937) 433-0444
Entity
Organization
Contact information
Practice address
77 W ELMWOOD DR STE 311, DAYTON, OH 45459-4278
(937) 433-0444
(937) 433-0405
Mailing address
77 W ELMWOOD DR STE 311, DAYTON, OH 45459-4278
(937) 433-0444
(937) 433-0405
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003616
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079560
—
OH
Enumeration date
08/16/2012
Last updated
02/19/2020
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