Individual
DR. BETSY A BROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
2925 VERNON PL, SUITE 302, CINCINNATI, OH 45219-2425
(513) 381-4042
(513) 345-6632
Mailing address
6200 PLEASANT AVE, SUITE 3, FAIRFIELD, OH 45014-4670
(513) 829-9333
(513) 858-7827
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-3262B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2404142
—
OH
01
—
P00109971
RAIL ROAD MEDICARE
OH
Enumeration date
07/13/2006
Last updated
03/21/2016
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