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Organization

STEP LIVELY FOOT AND ANKLE CENTERS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SONIA HUITZ (BILLING REPRESENTATIVE)
(614) 304-0019
Entity
Organization

Contact information

Practice address
3192 E LIVINGSTON AVE, COLUMBUS, OH 43227-1945
(614) 304-0019
(614) 304-0023
Mailing address
1045 BEECHER XING N, SUITE A, GAHANNA, OH 43230-4558
(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
CB1401
MEDICARE RAILROAD
OH
Enumeration date
07/17/2007
Last updated
07/16/2013
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