Organization
PODIATRIC ASSOCIATES OF SOUTHEASTERN OHIO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M SKROBOT DPM (PRESIDENT)
(740) 704-7517
Entity
Organization
Contact information
Practice address
5042 BATESON BEACH DR NE, THORNVILLE, OH 43076-9663
(740) 704-7517
(740) 242-4146
Mailing address
5042 BATESON BEACH DR NE, THORNVILLE, OH 43076-9663
(740) 704-7517
(740) 242-4146
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0520050001
ADMINISTAR
OH
05
—
2412740
—
OH
05
—
2412777
—
OH
01
—
CI5891
RR MEDICARE
OH
Enumeration date
10/02/2006
Last updated
07/21/2022
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