Organization
PODIATRIC MEDICAL SPECIALISTS LLC
Active
Other names
Charles M. Perry
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PERRY (DPM OWNER)
(740) 439-4600
Entity
Organization
Contact information
Practice address
1354 CLARK ST, CAMBRIDGE, OH 43725-9614
(740) 439-4600
(740) 432-8712
Mailing address
1354 CLARK ST, CAMBRIDGE, OH 43725-9614
(740) 439-4600
(740) 432-8712
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002747
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111397
—
OH
Enumeration date
03/08/2007
Last updated
03/22/2016
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