Organization
FOOT & ANKLE CENTERS OF OHIO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE R LITTLE JR. DPM (PRESIDENT)
(419) 394-8664
Entity
Organization
Contact information
Practice address
770 W HIGH ST, SUITE 240, LIMA, OH 45801-5906
(419) 224-8414
(419) 224-8436
Mailing address
1013 E SPRING ST, SAINT MARYS, OH 45885-2447
(419) 394-8664
(419) 394-1148
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003084M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2092953
—
OH
Enumeration date
05/17/2006
Last updated
08/22/2020
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