Individual
MACAIRA DYMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
9759 FAIRWAY BLVD, POWELL, OH 43065-6947
(614) 792-3668
(614) 792-7615
Mailing address
PO BOX 1554, REYNOLDSBURG, OH 43068-6554
(614) 864-9560
(614) 864-9709
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-003549
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3067229
—
OH
Enumeration date
09/11/2007
Last updated
09/16/2010
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