Organization
KSU FOOT & ANKLE CLINIC
Active
Other names
Cleveland Foot & Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DIBACCO DPM (DIRECTOR)
(814) 474-7499
Entity
Organization
Contact information
Practice address
7000 EUCLID AVE, CLEVELAND, OH 44103-4014
(216) 231-5612
Mailing address
7000 EUCLID AVE, CLEVELAND, OH 44103-4014
(216) 231-5612
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
06/11/2012
Last updated
01/06/2015
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