Organization
LEGACY FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHILOH ROSE THOMAN DPM (PRESIDENT)
(541) 740-0462
Entity
Organization
Contact information
Practice address
603 N STATE ST, GIRARD, OH 44420-1748
(541) 740-0462
Mailing address
603 N STATE ST, GIRARD, OH 44420-1748
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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