Organization
STEP LIVELY FOOT AND ANKLE CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA HUITZ (BILLING REPRESENTATIVE)
(614) 304-0019
Entity
Organization
Contact information
Practice address
3387 FARM BANK WAY, GROVE CITY, OH 43123-1973
(614) 782-3668
(614) 782-3674
Mailing address
1045 BEECHER XING N, SUITE A, GAHANNA, OH 43230-4573
(614) 304-0019
(614) 304-0023
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0753340
—
OH
01
—
DP4315
MEDICARE RAILROAD
OH
Enumeration date
12/15/2010
Last updated
10/05/2011
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